Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.63 / $4,723.00 / $10,268.00	Facility		$1,245.63	$4,723.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.22 / $837.68 / $1,675.17	Professional		$727.22	$837.68	$1,675.17
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 $703.20 / $953.43 / $1,550.48	Professional		$703.20	$953.43	$1,550.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.15 / $983.29 / $1,305.93	Facility		$766.15	$983.29	$1,305.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.35 / $1,147.17 / $127,498.73	Professional		$901.35	$1,147.17	$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 $860.38 / $1,175.19 / $1,694.66	Professional		$860.38	$1,175.19	$1,694.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Facility		$977.70	$977.70	$977.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $860.38 / $1,184.30 / $1,694.66	Professional		$860.38	$1,184.30	$1,694.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $599.25 / $1,018.60	Professional		$72.37	$599.25	$1,018.60
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 $718.04 / $1,080.27 / $1,766.20	Professional		$718.04	$1,080.27	$1,766.20