Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.68 / $5,135.00 / $10,817.74	Facility		$1,088.68	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.28 / $849.29 / $1,676.01	Professional		$727.28	$849.29	$1,676.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,932.00 / $30,285.00	Facility		$2,777.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.36 / $904.76 / $1,485.04	Professional		$664.36	$904.76	$1,485.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.74 / $984.06 / $1,306.95	Facility		$766.74	$984.06	$1,306.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $902.06 / $1,148.07 / $127,498.73	Professional		$902.06	$1,148.07	$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 $861.05 / $1,148.07 / $1,601.22	Professional		$861.05	$1,148.07	$1,601.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $978.70	Facility		$978.70	$978.70	$978.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $861.05 / $1,189.07 / $1,601.22	Professional		$861.05	$1,189.07	$1,601.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $602.89 / $1,017.05	Professional		$72.37	$602.89	$1,017.05
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 $716.13 / $1,068.61 / $1,766.33	Professional		$716.13	$1,068.61	$1,766.33