Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.11 / $6,251.00 / $11,581.00	Facility		$1,170.11	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.15 / $793.57 / $1,566.55	Professional		$677.15	$793.57	$1,566.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,971.00 / $9,066.00 / $60,294.00	Facility		$2,971.00	$9,066.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.62 / $859.38 / $1,369.41	Professional		$630.62	$859.38	$1,369.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.60 / $927.40 / $1,231.70	Facility		$722.60	$927.40	$1,231.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $850.11 / $1,081.96 / $127,498.73	Professional		$850.11	$1,081.96	$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 $811.47 / $1,081.96 / $1,548.58	Professional		$811.47	$1,081.96	$1,548.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $924.75 / $924.75	Facility		$924.75	$924.75	$924.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $811.47 / $1,086.83 / $1,556.40	Professional		$811.47	$1,086.83	$1,556.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $570.26 / $974.46	Professional		$72.37	$570.26	$974.46
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 $621.48 / $974.87 / $1,605.28	Professional		$621.48	$974.87	$1,605.28