Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,201.00 / $11,627.00	Facility		$1,165.00	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.56 / $816.37 / $1,618.99	Professional		$698.56	$816.37	$1,618.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,565.00 / $30,285.00	Facility		$2,777.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.58 / $928.35 / $1,453.79	Professional		$664.58	$928.35	$1,453.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.27 / $953.93 / $1,266.93	Facility		$743.27	$953.93	$1,266.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $874.43 / $1,112.92 / $127,498.73	Professional		$874.43	$1,112.92	$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 $834.69 / $1,112.92 / $1,582.10	Professional		$834.69	$1,112.92	$1,582.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $950.42	Facility		$950.42	$950.42	$950.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $834.69 / $1,116.47 / $1,582.10	Professional		$834.69	$1,116.47	$1,582.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $590.48 / $981.63	Professional		$72.37	$590.48	$981.63
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 $654.67 / $1,005.70 / $1,669.46	Professional		$654.67	$1,005.70	$1,669.46