Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $5,135.00 / $10,817.74	Facility		$1,009.63	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.72 / $793.34 / $1,521.73	Professional		$721.72	$793.34	$1,521.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.55 / $912.68 / $1,473.15	Professional		$677.55	$912.68	$1,473.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.02 / $903.56 / $1,200.05	Facility		$704.02	$903.56	$1,200.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.27 / $1,054.16 / $127,498.73	Professional		$828.27	$1,054.16	$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 $785.23 / $1,094.09 / $1,661.58	Professional		$785.23	$1,094.09	$1,661.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $897.23 / $897.23 / $897.23	Facility		$897.23	$897.23	$897.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $790.62 / $1,152.89 / $1,661.58	Professional		$790.62	$1,152.89	$1,661.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $562.77 / $938.93	Professional		$72.37	$562.77	$938.93
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 $666.09 / $1,030.13 / $1,668.53	Professional		$666.09	$1,030.13	$1,668.53