Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.64 / $5,201.00 / $11,627.00	Facility		$929.64	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $682.42 / $1,268.03	Professional		$582.13	$682.42	$1,268.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.42 / $743.37 / $1,213.55	Professional		$557.42	$743.37	$1,213.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.88 / $799.42 / $1,061.73	Facility		$622.88	$799.42	$1,061.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $732.80 / $932.65 / $127,498.73	Professional		$732.80	$932.65	$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 $666.77 / $932.66 / $1,283.33	Professional		$666.77	$932.66	$1,283.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $797.54 / $797.54	Facility		$797.54	$797.54	$797.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $699.49 / $944.44 / $1,277.53	Professional		$699.49	$944.44	$1,277.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $607.62 / $906.73	Professional		$67.21	$607.62	$906.73
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 $551.72 / $869.65 / $1,360.84	Professional		$551.72	$869.65	$1,360.84