Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.82 / $6,251.00 / $11,581.00	Facility		$1,154.82	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.34 / $785.09 / $1,549.40	Professional		$667.34	$785.09	$1,549.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.29 / $856.80 / $1,443.15	Professional		$633.29	$856.80	$1,443.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.94 / $913.72 / $1,213.53	Facility		$711.94	$913.72	$1,213.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $837.57 / $1,066.00 / $127,498.73	Professional		$837.57	$1,066.00	$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 $799.50 / $1,066.64 / $1,526.34	Professional		$799.50	$1,066.64	$1,526.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $910.62 / $910.62 / $910.62	Facility		$910.62	$910.62	$910.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $799.50 / $1,082.32 / $1,526.34	Professional		$799.50	$1,082.32	$1,526.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $569.20 / $953.57	Professional		$72.37	$569.20	$953.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,853.00	Facility		$2,840.00	$5,920.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.30 / $962.74 / $1,598.14	Professional		$638.30	$962.74	$1,598.14