Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.42 / $6,251.00 / $11,581.00	Facility		$1,138.42	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.91 / $772.53 / $1,525.45	Professional		$656.91	$772.53	$1,525.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.65 / $828.10 / $1,322.39	Professional		$603.65	$828.10	$1,322.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $700.71 / $899.30 / $1,194.39	Facility		$700.71	$899.30	$1,194.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $824.36 / $1,049.19 / $127,498.73	Professional		$824.36	$1,049.19	$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 $786.89 / $1,049.19 / $1,489.81	Professional		$786.89	$1,049.19	$1,489.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $896.48	Facility		$896.48	$896.48	$896.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $786.89 / $1,069.07 / $1,547.63	Professional		$786.89	$1,069.07	$1,547.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $537.04 / $933.47	Professional		$72.37	$537.04	$933.47
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 $628.30 / $979.19 / $1,572.84	Professional		$628.30	$979.19	$1,572.84