Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,723.00 / $10,934.77	Facility		$1,000.00	$4,723.00	$10,934.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.17 / $724.89 / $1,436.80	Professional		$633.17	$724.89	$1,436.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $7,209.00 / $36,529.00	Facility		$2,134.00	$7,209.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.64 / $992.92 / $1,658.48	Professional		$749.64	$992.92	$1,658.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.75 / $848.02 / $1,126.28	Facility		$660.75	$848.02	$1,126.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $777.35 / $989.35 / $127,498.73	Professional		$777.35	$989.35	$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 $742.01 / $1,052.86 / $1,508.71	Professional		$742.01	$1,052.86	$1,508.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $844.78	Facility		$844.78	$844.78	$844.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $742.01 / $1,052.86 / $1,537.31	Professional		$742.01	$1,052.86	$1,537.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.78 / $973.63 / $1,526.22	Professional		$623.78	$973.63	$1,526.22