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 $628.74 / $736.29 / $1,453.79	Professional		$628.74	$736.29	$1,453.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.26 / $878.98 / $1,481.09	Professional		$609.26	$878.98	$1,481.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.17 / $857.54 / $1,138.92	Facility		$668.17	$857.54	$1,138.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $786.08 / $1,000.47 / $127,498.73	Professional		$786.08	$1,000.47	$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 $750.35 / $1,024.27 / $1,475.05	Professional		$750.35	$1,024.27	$1,475.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $750.35 / $1,029.34 / $1,493.61	Professional		$750.35	$1,029.34	$1,493.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $505.93 / $891.42	Professional		$72.37	$505.93	$891.42
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 $622.76 / $949.79 / $1,528.65	Professional		$622.76	$949.79	$1,528.65