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 $654.36 / $754.26 / $1,489.15	Professional		$654.36	$754.26	$1,489.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $973.12 / $1,640.03	Professional		$743.58	$973.12	$1,640.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.17 / $876.79 / $1,164.50	Facility		$683.17	$876.79	$1,164.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $803.73 / $1,022.92 / $127,498.73	Professional		$803.73	$1,022.92	$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 $767.19 / $1,083.49 / $1,563.70	Professional		$767.19	$1,083.49	$1,563.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $873.43	Facility		$873.43	$873.43	$873.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $767.19 / $1,089.26 / $1,590.07	Professional		$767.19	$1,089.26	$1,590.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $512.72 / $931.00	Professional		$72.37	$512.72	$931.00
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 $637.49 / $984.31 / $1,491.96	Professional		$637.49	$984.31	$1,491.96