Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.33 / $5,135.00 / $10,817.74	Facility		$1,117.33	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.00 / $855.95 / $1,729.91	Professional		$748.00	$855.95	$1,729.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.29 / $950.23 / $1,539.15	Professional		$696.29	$950.23	$1,539.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.16 / $984.59 / $1,307.66	Facility		$767.16	$984.59	$1,307.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $902.54 / $1,148.69 / $127,498.73	Professional		$902.54	$1,148.69	$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 $861.52 / $1,163.73 / $1,699.67	Professional		$861.52	$1,163.73	$1,699.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $1,199.31 / $1,755.06	Professional		$861.52	$1,199.31	$1,755.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $599.48 / $1,027.35	Professional		$72.32	$599.48	$1,027.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.88 / $1,096.20 / $1,791.41	Professional		$704.88	$1,096.20	$1,791.41