Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.28 / $7,639.00 / $11,627.00	Facility		$1,306.28	$7,639.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.61 / $890.92 / $1,756.49	Professional		$758.61	$890.92	$1,756.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $1,027.33 / $1,621.32	Professional		$727.70	$1,027.33	$1,621.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.83 / $1,031.65 / $1,370.16	Facility		$803.83	$1,031.65	$1,370.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $945.68 / $1,203.58 / $127,498.73	Professional		$945.68	$1,203.58	$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 $902.69 / $1,219.36 / $1,753.88	Professional		$902.69	$1,219.36	$1,753.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,026.31 / $1,026.31 / $1,026.31	Facility		$1,026.31	$1,026.31	$1,026.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $902.69 / $1,235.52 / $1,753.88	Professional		$902.69	$1,235.52	$1,753.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,097.26	Professional		$72.37	$653.07	$1,097.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.35 / $1,115.14 / $1,813.96	Professional		$723.35	$1,115.14	$1,813.96