Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.51 / $3,401.00 / $10,635.00	Facility		$921.51	$3,401.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $625.08 / $1,236.03	Professional		$531.66	$625.08	$1,236.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.08 / $695.79 / $1,135.52	Professional		$516.08	$695.79	$1,135.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.70 / $728.59 / $967.67	Facility		$567.70	$728.59	$967.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.88 / $850.02 / $127,498.73	Professional		$667.88	$850.02	$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 $637.52 / $850.03 / $1,228.82	Professional		$637.52	$850.03	$1,228.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $637.52 / $861.94 / $1,228.82	Professional		$637.52	$861.94	$1,228.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $434.37 / $768.27	Professional		$72.32	$434.37	$768.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.64 / $785.43 / $1,272.05	Professional		$499.64	$785.43	$1,272.05