Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.52 / $3,325.00 / $10,635.00	Facility		$1,175.52	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.44 / $877.66 / $1,492.02	Professional		$669.44	$877.66	$1,492.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.53 / $768.75 / $1,319.97	Professional		$544.53	$768.75	$1,319.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.18 / $1,016.70 / $1,350.30	Facility		$792.18	$1,016.70	$1,350.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $931.98 / $1,186.15 / $127,498.73	Professional		$931.98	$1,186.15	$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 $764.43 / $1,050.58 / $1,542.15	Professional		$764.43	$1,050.58	$1,542.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,039.80 / $1,039.80 / $1,039.80	Facility		$1,039.80	$1,039.80	$1,039.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $800.99 / $1,092.04 / $1,525.06	Professional		$800.99	$1,092.04	$1,525.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $627.76 / $1,087.90	Professional		$107.36	$627.76	$1,087.90
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 $591.65 / $930.32 / $1,526.77	Professional		$591.65	$930.32	$1,526.77