Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.51 / $6,251.00 / $11,581.00	Facility		$1,041.51	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.30 / $700.41 / $1,395.44	Professional		$601.30	$700.41	$1,395.44
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 $596.73 / $782.63 / $1,305.35	Professional		$596.73	$782.63	$1,305.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.53 / $823.36 / $1,093.52	Facility		$641.53	$823.36	$1,093.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.74 / $960.58 / $127,498.73	Professional		$754.74	$960.58	$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 $698.51 / $944.08 / $1,327.53	Professional		$698.51	$944.08	$1,327.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $686.13 / $960.59 / $1,337.62	Professional		$686.13	$960.59	$1,337.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.25 / $864.05	Professional		$72.32	$503.25	$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 $551.30 / $844.45 / $1,332.20	Professional		$551.30	$844.45	$1,332.20