Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.43 / $6,251.00 / $11,581.00	Facility		$1,367.43	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.24 / $934.61 / $1,845.61	Professional		$801.24	$934.61	$1,845.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.00 / $6,934.00 / $30,285.00	Facility		$2,782.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.12 / $1,082.39 / $1,718.83	Professional		$778.12	$1,082.39	$1,718.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $841.79 / $1,080.35 / $1,434.86	Facility		$841.79	$1,080.35	$1,434.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.33 / $1,260.42 / $127,498.73	Professional		$990.33	$1,260.42	$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 $944.99 / $1,303.69 / $1,869.92	Professional		$944.99	$1,303.69	$1,869.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $1,073.61	Facility		$1,073.61	$1,073.61	$1,073.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $945.31 / $1,307.60 / $1,872.44	Professional		$945.31	$1,307.60	$1,872.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $668.91 / $1,134.87	Professional		$72.37	$668.91	$1,134.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,067.00 / $14,156.00	Facility		$4,227.00	$9,067.00	$14,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.79 / $1,171.40 / $1,911.72	Professional		$790.79	$1,171.40	$1,911.72