Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,723.00 / $10,817.74	Facility		$950.00	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.14 / $707.77 / $1,396.93	Professional		$604.14	$707.77	$1,396.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.59 / $961.47 / $1,582.74	Professional		$713.59	$961.47	$1,582.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.13 / $824.12 / $1,094.54	Facility		$642.13	$824.12	$1,094.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $755.45 / $961.48 / $127,498.73	Professional		$755.45	$961.48	$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 $712.70 / $991.95 / $1,459.52	Professional		$712.70	$991.95	$1,459.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $821.71	Facility		$821.71	$821.71	$821.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $721.10 / $995.81 / $1,469.68	Professional		$721.10	$995.81	$1,469.68
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 $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 $598.79 / $912.74 / $1,442.33	Professional		$598.79	$912.74	$1,442.33