Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.91 / $5,135.00 / $10,817.74	Facility		$1,347.91	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.91 / $1,028.89 / $2,043.22	Professional		$886.91	$1,028.89	$2,043.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.54 / $1,175.30 / $1,882.83	Professional		$803.54	$1,175.30	$1,882.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $1,204.61 / $1,599.89	Facility		$938.60	$1,204.61	$1,599.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,104.24 / $1,405.39 / $127,498.73	Professional		$1,104.24	$1,405.39	$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 $1,031.85 / $1,405.40 / $1,941.72	Professional		$1,031.85	$1,405.40	$1,941.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,203.36 / $1,203.36 / $1,203.36	Facility		$1,203.36	$1,203.36	$1,203.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,031.85 / $1,412.78 / $1,979.22	Professional		$1,031.85	$1,412.78	$1,979.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $725.79 / $1,275.15	Professional		$107.98	$725.79	$1,275.15
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 $818.22 / $1,242.50 / $2,055.46	Professional		$818.22	$1,242.50	$2,055.46