Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.91 / $7,639.00 / $11,627.00	Facility		$1,030.91	$7,639.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $693.28 / $1,178.58	Professional		$534.72	$693.28	$1,178.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.41 / $720.64 / $1,122.22	Professional		$502.41	$720.64	$1,122.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $634.78 / $814.68 / $1,082.00	Facility		$634.78	$814.68	$1,082.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.79 / $950.46 / $127,498.73	Professional		$746.79	$950.46	$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 $630.40 / $882.57 / $1,210.92	Professional		$630.40	$882.57	$1,210.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $812.04 / $812.04 / $812.04	Facility		$812.04	$812.04	$812.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $896.43 / $1,210.92	Professional		$634.00	$896.43	$1,210.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.59 / $746.96 / $1,224.98	Professional		$491.59	$746.96	$1,224.98