Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.66 / $4,723.00 / $11,627.00	Facility		$571.66	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.28 / $603.88 / $1,168.76	Professional		$536.28	$603.88	$1,168.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.16 / $693.61 / $1,090.03	Professional		$487.16	$693.61	$1,090.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $728.68 / $901.89	Facility		$567.77	$728.68	$901.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.95 / $850.12 / $127,498.73	Professional		$667.95	$850.12	$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 $607.23 / $840.33 / $1,168.19	Professional		$607.23	$840.33	$1,168.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $724.03 / $724.03	Facility		$724.03	$724.03	$724.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $637.59 / $850.12 / $1,168.19	Professional		$637.59	$850.12	$1,168.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $542.61 / $801.10	Professional		$67.08	$542.61	$801.10
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 $496.68 / $764.51 / $1,194.76	Professional		$496.68	$764.51	$1,194.76