Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.50 / $4,723.00 / $11,627.00	Facility		$691.50	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $691.50 / $1,252.84	Professional		$595.01	$691.50	$1,252.84
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 $549.09 / $745.72 / $1,217.89	Professional		$549.09	$745.72	$1,217.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.99 / $809.83 / $1,075.56	Facility		$630.99	$809.83	$1,075.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.35 / $944.80 / $127,498.73	Professional		$742.35	$944.80	$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 $698.85 / $918.51 / $1,301.63	Professional		$698.85	$918.51	$1,301.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $698.85 / $944.81 / $1,301.63	Professional		$698.85	$944.81	$1,301.63
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 $553.05 / $845.99 / $1,380.93	Professional		$553.05	$845.99	$1,380.93