Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,251.00 / $11,581.00	Facility		$1,375.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.63 / $990.32 / $1,952.23	Professional		$845.63	$990.32	$1,952.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $7,982.00 / $36,529.00	Facility		$2,134.00	$7,982.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.32 / $1,112.10 / $1,766.03	Professional		$811.32	$1,112.10	$1,766.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.46 / $1,145.40 / $1,521.24	Facility		$892.46	$1,145.40	$1,521.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.95 / $1,336.30 / $127,498.73	Professional		$1,049.95	$1,336.30	$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 $1,002.22 / $1,350.43 / $1,960.46	Professional		$1,002.22	$1,350.43	$1,960.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,138.27 / $1,138.27	Facility		$1,138.27	$1,138.27	$1,138.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,002.22 / $1,377.37 / $1,960.46	Professional		$1,002.22	$1,377.37	$1,960.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $696.47 / $1,180.84	Professional		$72.37	$696.47	$1,180.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.41 / $1,225.10 / $2,019.19	Professional		$807.41	$1,225.10	$2,019.19