Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.29 / $8,037.00 / $11,754.00	Facility		$1,444.29	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.07 / $991.98 / $2,544.75	Professional		$846.07	$991.98	$2,544.75
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 $749.81 / $1,021.24 / $1,613.31	Professional		$749.81	$1,021.24	$1,613.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $887.33 / $1,138.81 / $1,512.48	Facility		$887.33	$1,138.81	$1,512.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,043.91 / $1,328.61 / $127,498.73	Professional		$1,043.91	$1,328.61	$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 $985.15 / $1,328.61 / $1,877.60	Professional		$985.15	$1,328.61	$1,877.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,135.13 / $1,135.13 / $1,135.13	Facility		$1,135.13	$1,135.13	$1,135.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $996.46 / $1,376.06 / $1,834.17	Professional		$996.46	$1,376.06	$1,834.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $700.93 / $1,205.95	Professional		$72.37	$700.93	$1,205.95
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 $800.40 / $1,215.08 / $2,044.09	Professional		$800.40	$1,215.08	$2,044.09