Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.12 / $6,251.00 / $11,581.00	Facility		$966.12	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.75 / $652.89 / $1,297.08	Professional		$561.75	$652.89	$1,297.08
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 $485.58 / $682.12 / $1,119.33	Professional		$485.58	$682.12	$1,119.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.46 / $764.23 / $1,014.99	Facility		$595.46	$764.23	$1,014.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $891.60 / $127,498.73	Professional		$700.55	$891.60	$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 $639.23 / $891.60 / $1,273.33	Professional		$639.23	$891.60	$1,273.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $760.33 / $760.33 / $760.33	Facility		$760.33	$760.33	$760.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $897.53 / $1,273.33	Professional		$668.70	$897.53	$1,273.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $439.45 / $778.94	Professional		$72.32	$439.45	$778.94
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 $525.03 / $821.19 / $1,340.84	Professional		$525.03	$821.19	$1,340.84