Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,723.00 / $10,817.74	Facility		$1,000.00	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.16 / $712.22 / $1,417.86	Professional		$611.16	$712.22	$1,417.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $873.80 / $1,409.84	Professional		$608.79	$873.80	$1,409.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.27 / $837.13 / $1,036.13	Facility		$652.27	$837.13	$1,036.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $767.37 / $976.65 / $127,498.73	Professional		$767.37	$976.65	$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 $697.61 / $976.66 / $1,343.43	Professional		$697.61	$976.66	$1,343.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $835.48	Facility		$835.48	$835.48	$835.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $697.61 / $976.66 / $1,423.52	Professional		$697.61	$976.66	$1,423.52
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 $3,793.00 / $6,557.00 / $10,989.00	Facility		$3,793.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.57 / $872.86 / $1,459.20	Professional		$583.57	$872.86	$1,459.20