Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.93 / $5,355.00 / $10,817.74	Facility		$1,141.93	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.34 / $767.94 / $1,532.99	Professional		$659.34	$767.94	$1,532.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,746.00 / $30,285.00	Facility		$2,777.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.92 / $819.17 / $1,328.28	Professional		$607.92	$819.17	$1,328.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.76 / $903.22 / $1,199.58	Facility		$703.76	$903.22	$1,199.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,053.75 / $127,498.73	Professional		$827.95	$1,053.75	$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 $778.43 / $1,053.75 / $1,539.50	Professional		$778.43	$1,053.75	$1,539.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $899.46 / $899.46 / $899.46	Facility		$899.46	$899.46	$899.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $790.31 / $1,074.81 / $1,539.50	Professional		$790.31	$1,074.81	$1,539.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $589.74 / $966.00	Professional		$72.37	$589.74	$966.00
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 $632.76 / $970.89 / $1,599.74	Professional		$632.76	$970.89	$1,599.74