Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.77 / $735.55 / $1,305.38	Professional		$665.77	$735.55	$1,305.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $790.86 / $1,314.77	Professional		$563.54	$790.86	$1,314.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $845.34 / $1,046.29	Facility		$658.66	$845.34	$1,046.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.90 / $986.23 / $127,498.73	Professional		$774.90	$986.23	$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 $739.67 / $986.23 / $1,390.84	Professional		$739.67	$986.23	$1,390.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $842.17	Facility		$842.17	$842.17	$842.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $739.67 / $1,003.29 / $1,390.84	Professional		$739.67	$1,003.29	$1,390.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
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 $579.67 / $892.06 / $1,384.53	Professional		$579.67	$892.06	$1,384.53