Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.44 / $4,723.00 / $11,627.00	Facility		$714.44	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.48 / $722.43 / $1,297.54	Professional		$616.48	$722.43	$1,297.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.63 / $812.43 / $1,326.65	Professional		$580.63	$812.43	$1,326.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.91 / $840.52 / $1,116.32	Facility		$654.91	$840.52	$1,116.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $770.47 / $980.60 / $127,498.73	Professional		$770.47	$980.60	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.45 / $980.61 / $1,365.20	Professional		$735.45	$980.61	$1,365.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $836.97	Facility		$836.97	$836.97	$836.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $735.45 / $990.31 / $1,442.73	Professional		$735.45	$990.31	$1,442.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $897.73 / $1,429.44	Professional		$577.04	$897.73	$1,429.44