Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.64 / $3,325.00 / $10,635.00	Facility		$929.64	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.80 / $683.49 / $1,256.33	Professional		$584.80	$683.49	$1,256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.60 / $744.67 / $1,215.68	Professional		$555.60	$744.67	$1,215.68
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 / $937.93 / $1,277.53	Professional		$699.49	$937.93	$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 $545.73 / $868.28 / $1,329.35	Professional		$545.73	$868.28	$1,329.35