Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,325.00 / $10,635.00	Facility		$1,000.00	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.55 / $690.66 / $1,376.93	Professional		$592.55	$690.66	$1,376.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.44 / $813.89 / $1,322.75	Professional		$563.44	$813.89	$1,322.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.40 / $811.63 / $1,077.95	Facility		$632.40	$811.63	$1,077.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $946.90 / $127,498.73	Professional		$744.00	$946.90	$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 $702.01 / $946.91 / $1,390.58	Professional		$702.01	$946.91	$1,390.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $710.18 / $946.91 / $1,390.58	Professional		$710.18	$946.91	$1,390.58
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 $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.57 / $864.08 / $1,420.91	Professional		$566.57	$864.08	$1,420.91