Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.22 / $5,135.00 / $10,817.74	Facility		$1,280.22	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.11 / $992.94 / $1,975.42	Professional		$862.11	$992.94	$1,975.42
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 $946.25 / $1,246.82 / $2,085.32	Professional		$946.25	$1,246.82	$2,085.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $902.47 / $1,158.25 / $1,538.31	Facility		$902.47	$1,158.25	$1,538.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,061.73 / $1,351.29 / $127,498.73	Professional		$1,061.73	$1,351.29	$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 $1,004.90 / $1,404.25 / $2,013.28	Professional		$1,004.90	$1,404.25	$2,013.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,150.55 / $1,150.55	Facility		$1,150.55	$1,150.55	$1,150.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,013.47 / $1,439.12 / $2,047.08	Professional		$1,013.47	$1,439.12	$2,047.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $705.10 / $1,210.64	Professional		$72.37	$705.10	$1,210.64
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 $793.34 / $1,269.34 / $1,890.10	Professional		$793.34	$1,269.34	$1,890.10