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 $603.79 / $707.17 / $1,395.44	Professional		$603.79	$707.17	$1,395.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,534.00 / $14,996.00	Facility		$1,760.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.34 / $809.43 / $1,279.73	Professional		$582.34	$809.43	$1,279.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.53 / $823.36 / $1,093.52	Facility		$641.53	$823.36	$1,093.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.74 / $960.58 / $127,498.73	Professional		$754.74	$960.58	$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 $720.44 / $962.86 / $1,395.92	Professional		$720.44	$962.86	$1,395.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $720.44 / $979.43 / $1,395.92	Professional		$720.44	$979.43	$1,395.92
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 $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.39 / $895.43 / $1,441.47	Professional		$576.39	$895.43	$1,441.47