Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.65 / $776.37 / $1,440.16	Professional		$705.65	$776.37	$1,440.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.89 / $811.86 / $1,290.64	Professional		$594.89	$811.86	$1,290.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $693.03 / $889.45 / $1,181.31	Facility		$693.03	$889.45	$1,181.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.33 / $1,037.69 / $127,498.73	Professional		$815.33	$1,037.69	$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 $772.70 / $1,037.70 / $1,450.58	Professional		$772.70	$1,037.70	$1,450.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $886.03 / $886.03 / $886.03	Facility		$886.03	$886.03	$886.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $778.27 / $1,063.89 / $1,433.83	Professional		$778.27	$1,063.89	$1,433.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $527.70 / $942.83	Professional		$72.37	$527.70	$942.83
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 $614.89 / $972.36 / $1,570.33	Professional		$614.89	$972.36	$1,570.33