Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.18 / $5,201.00 / $11,627.00	Facility		$962.18	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $653.14 / $1,892.33	Professional		$557.84	$653.14	$1,892.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.91 / $726.82 / $1,187.26	Professional		$537.91	$726.82	$1,187.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $592.52 / $760.44 / $1,009.97	Facility		$592.52	$760.44	$1,009.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.07 / $887.18 / $127,498.73	Professional		$697.07	$887.18	$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 $665.38 / $887.17 / $1,281.40	Professional		$665.38	$887.17	$1,281.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $758.48 / $758.48 / $758.48	Facility		$758.48	$758.48	$758.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $665.38 / $887.17 / $1,281.40	Professional		$665.38	$887.17	$1,281.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.32 / $827.88 / $1,318.64	Professional		$531.32	$827.88	$1,318.64