Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.18 / $4,723.00 / $11,627.00	Facility		$698.18	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.80 / $702.26 / $1,265.24	Professional		$598.80	$702.26	$1,265.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.30 / $892.03 / $1,440.75	Professional		$656.30	$892.03	$1,440.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.57 / $824.69 / $1,095.29	Facility		$642.57	$824.69	$1,095.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $755.96 / $962.14 / $127,498.73	Professional		$755.96	$962.14	$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 $716.09 / $993.40 / $1,429.29	Professional		$716.09	$993.40	$1,429.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $823.20 / $823.20	Facility		$823.20	$823.20	$823.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $716.09 / $998.18 / $1,441.44	Professional		$716.09	$998.18	$1,441.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $495.24 / $879.97	Professional		$72.37	$495.24	$879.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.45 / $892.19 / $1,414.99	Professional		$592.45	$892.19	$1,414.99