Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.78 / $4,723.00 / $11,627.00	Facility		$707.78	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.12 / $707.78 / $1,282.08	Professional		$609.12	$707.78	$1,282.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.51 / $749.77 / $1,217.34	Professional		$560.51	$749.77	$1,217.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.72 / $830.02 / $1,102.36	Facility		$646.72	$830.02	$1,102.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.85 / $968.35 / $127,498.73	Professional		$760.85	$968.35	$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 $716.33 / $968.36 / $1,331.52	Professional		$716.33	$968.36	$1,331.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $716.33 / $968.36 / $1,331.52	Professional		$716.33	$968.36	$1,331.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $492.18 / $852.61	Professional		$72.32	$492.18	$852.61
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 $562.41 / $858.88 / $1,415.47	Professional		$562.41	$858.88	$1,415.47