Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.60 / $5,616.00 / $10,635.00	Facility		$877.60	$5,616.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.23 / $493.01 / $1,084.59	Professional		$428.23	$493.01	$1,084.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.44 / $618.98 / $1,024.76	Professional		$438.44	$618.98	$1,024.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $577.69 / $767.25	Facility		$450.12	$577.69	$767.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.54 / $673.97 / $127,498.73	Professional		$529.54	$673.97	$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 $496.21 / $680.66 / $989.02	Professional		$496.21	$680.66	$989.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $496.21 / $698.04 / $995.55	Professional		$496.21	$698.04	$995.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.32 / $590.72	Professional		$71.16	$358.32	$590.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $629.48 / $1,013.21	Professional		$412.58	$629.48	$1,013.21