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 $659.90 / $759.21 / $1,498.33	Professional		$659.90	$759.21	$1,498.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $991.52 / $1,666.06	Professional		$738.46	$991.52	$1,666.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.71 / $881.34 / $1,170.53	Facility		$686.71	$881.34	$1,170.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $807.90 / $1,028.23 / $127,498.73	Professional		$807.90	$1,028.23	$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 $771.17 / $1,096.66 / $1,557.13	Professional		$771.17	$1,096.66	$1,557.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $771.17 / $1,097.78 / $1,602.16	Professional		$771.17	$1,097.78	$1,602.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $505.93 / $922.24	Professional		$72.37	$505.93	$922.24
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 $642.10 / $997.78 / $1,548.62	Professional		$642.10	$997.78	$1,548.62