Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.10 / $6,251.00 / $11,581.00	Facility		$1,357.10	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.66 / $926.14 / $1,826.48	Professional		$789.66	$926.14	$1,826.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $8,173.00 / $36,529.00	Facility		$2,134.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.55 / $1,018.53 / $1,611.35	Professional		$763.55	$1,018.53	$1,611.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $836.04 / $1,073.00 / $1,425.09	Facility		$836.04	$1,073.00	$1,425.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $983.59 / $1,251.83 / $127,498.73	Professional		$983.59	$1,251.83	$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 $938.87 / $1,257.02 / $1,780.26	Professional		$938.87	$1,257.02	$1,780.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,066.85 / $1,066.85 / $1,066.85	Facility		$1,066.85	$1,066.85	$1,066.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $938.87 / $1,274.88 / $1,836.74	Professional		$938.87	$1,274.88	$1,836.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,129.01	Professional		$72.37	$653.07	$1,129.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.93 / $1,136.81 / $1,887.10	Professional		$738.93	$1,136.81	$1,887.10