Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.70 / $5,135.00 / $10,817.74	Facility		$1,077.70	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.22 / $841.40 / $1,660.74	Professional		$720.22	$841.40	$1,660.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.10 / $950.83 / $1,480.83	Professional		$685.10	$950.83	$1,480.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.77 / $973.82 / $1,293.35	Facility		$758.77	$973.82	$1,293.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $892.67 / $1,136.13 / $127,498.73	Professional		$892.67	$1,136.13	$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 $852.09 / $1,136.11 / $1,639.71	Professional		$852.09	$1,136.11	$1,639.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $968.28	Facility		$968.28	$968.28	$968.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $852.09 / $1,169.31 / $1,682.85	Professional		$852.09	$1,169.31	$1,682.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $597.93 / $992.47	Professional		$72.37	$597.93	$992.47
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 $683.89 / $1,054.65 / $1,701.87	Professional		$683.89	$1,054.65	$1,701.87