Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.80 / $8,050.00 / $11,627.00	Facility		$1,455.80	$8,050.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.83 / $995.45 / $1,961.56	Professional		$849.83	$995.45	$1,961.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,971.00 / $9,066.00 / $60,294.00	Facility		$2,971.00	$9,066.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.79 / $1,142.05 / $1,775.36	Professional		$815.79	$1,142.05	$1,775.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.22 / $1,151.51 / $1,529.34	Facility		$897.22	$1,151.51	$1,529.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,055.55 / $1,343.43 / $127,498.73	Professional		$1,055.55	$1,343.43	$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 $1,007.57 / $1,357.39 / $1,968.02	Professional		$1,007.57	$1,357.39	$1,968.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,144.23 / $1,144.23 / $1,144.23	Facility		$1,144.23	$1,144.23	$1,144.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,007.57 / $1,389.20 / $1,968.02	Professional		$1,007.57	$1,389.20	$1,968.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $697.03 / $1,180.84	Professional		$72.37	$697.03	$1,180.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.66 / $1,216.22 / $2,003.27	Professional		$808.66	$1,216.22	$2,003.27