Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.94 / $4,723.00 / $11,627.00	Facility		$765.94	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $765.94 / $1,398.58	Professional		$661.88	$765.94	$1,398.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,287.00 / $14,996.00	Facility		$1,622.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.60 / $842.26 / $1,400.62	Professional		$596.60	$842.26	$1,400.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $693.08 / $889.51 / $1,100.96	Facility		$693.08	$889.51	$1,100.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.39 / $1,037.76 / $127,498.73	Professional		$815.39	$1,037.76	$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 $762.90 / $1,003.40 / $1,456.85	Professional		$762.90	$1,003.40	$1,456.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $904.09	Facility		$904.09	$904.09	$904.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $762.90 / $1,028.77 / $1,472.45	Professional		$762.90	$1,028.77	$1,472.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $540.56 / $923.00	Professional		$72.37	$540.56	$923.00
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 $603.25 / $915.48 / $1,533.58	Professional		$603.25	$915.48	$1,533.58