Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,325.00 / $10,635.00	Facility		$1,000.00	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.21 / $749.53 / $1,478.67	Professional		$638.21	$749.53	$1,478.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.99 / $838.66 / $1,384.07	Professional		$615.99	$838.66	$1,384.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $682.41 / $875.82 / $1,163.21	Facility		$682.41	$875.82	$1,163.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $802.84 / $1,021.79 / $127,498.73	Professional		$802.84	$1,021.79	$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 $764.58 / $1,021.78 / $1,455.05	Professional		$764.58	$1,021.78	$1,455.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $874.54 / $874.54	Facility		$874.54	$874.54	$874.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $764.58 / $1,029.54 / $1,455.05	Professional		$764.58	$1,029.54	$1,455.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $535.89 / $908.12	Professional		$72.37	$535.89	$908.12
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 $610.29 / $949.73 / $1,536.96	Professional		$610.29	$949.73	$1,536.96