Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.38 / $6,251.00 / $11,581.00	Facility		$1,036.38	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.10 / $706.73 / $1,403.02	Professional		$644.10	$706.73	$1,403.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $877.86 / $1,438.85	Professional		$665.05	$877.86	$1,438.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $635.57 / $815.70 / $1,083.34	Facility		$635.57	$815.70	$1,083.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $951.65 / $127,498.73	Professional		$747.73	$951.65	$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 $713.73 / $1,024.52 / $1,473.24	Professional		$713.73	$1,024.52	$1,473.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $813.77 / $813.77 / $813.77	Facility		$813.77	$813.77	$813.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $713.73 / $1,053.60 / $1,466.12	Professional		$713.73	$1,053.60	$1,466.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $487.70 / $853.41	Professional		$72.37	$487.70	$853.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.28 / $930.03 / $1,482.74	Professional		$599.28	$930.03	$1,482.74