Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.47 / $3,660.00 / $10,268.00	Facility		$1,181.47	$3,660.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $794.53 / $1,433.93	Professional		$688.12	$794.53	$1,433.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.92 / $842.78 / $1,351.98	Professional		$622.92	$842.78	$1,351.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.50 / $934.97 / $1,241.76	Facility		$728.50	$934.97	$1,241.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.05 / $1,090.80 / $127,498.73	Professional		$857.05	$1,090.80	$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 $793.78 / $1,081.89 / $1,501.38	Professional		$793.78	$1,081.89	$1,501.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $936.28 / $936.28 / $936.28	Facility		$936.28	$936.28	$936.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $812.12 / $1,090.80 / $1,501.38	Professional		$812.12	$1,090.80	$1,501.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $568.04 / $975.36	Professional		$72.37	$568.04	$975.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.55 / $981.19 / $1,647.79	Professional		$640.55	$981.19	$1,647.79