Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.33 / $5,135.00 / $10,817.74	Facility		$1,061.33	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.59 / $718.65 / $1,419.09	Professional		$613.59	$718.65	$1,419.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,869.00 / $14,996.00	Facility		$1,712.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.19 / $755.64 / $1,206.68	Professional		$556.19	$755.64	$1,206.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.19 / $839.60 / $1,115.09	Facility		$654.19	$839.60	$1,115.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.64 / $979.54 / $127,498.73	Professional		$769.64	$979.54	$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 $724.54 / $974.68 / $1,347.62	Professional		$724.54	$974.68	$1,347.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $734.66 / $979.54 / $1,341.83	Professional		$734.66	$979.54	$1,341.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $512.17 / $902.94	Professional		$72.37	$512.17	$902.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.25 / $874.97 / $1,352.84	Professional		$586.25	$874.97	$1,352.84