Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.84 / $4,723.00 / $11,627.00	Facility		$684.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.48 / $684.84 / $1,243.60	Professional		$589.48	$684.84	$1,243.60
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 $642.77 / $899.00 / $1,483.67	Professional		$642.77	$899.00	$1,483.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $804.44 / $995.68	Facility		$626.79	$804.44	$995.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.41 / $938.52 / $127,498.73	Professional		$737.41	$938.52	$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 $696.64 / $972.04 / $1,407.89	Professional		$696.64	$972.04	$1,407.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $703.89 / $985.87 / $1,417.24	Professional		$703.89	$985.87	$1,417.24
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 $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 $584.65 / $883.63 / $1,408.94	Professional		$584.65	$883.63	$1,408.94