Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.50 / $733.44 / $1,429.50	Professional		$618.50	$733.44	$1,429.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.10 / $804.10 / $1,296.11	Professional		$598.10	$804.10	$1,296.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $657.21 / $843.47 / $1,120.23	Facility		$657.21	$843.47	$1,120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.18 / $984.05 / $127,498.73	Professional		$773.18	$984.05	$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 $738.04 / $984.05 / $1,414.68	Professional		$738.04	$984.05	$1,414.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $840.32 / $840.32 / $840.32	Facility		$840.32	$840.32	$840.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.04 / $1,001.51 / $1,414.68	Professional		$738.04	$1,001.51	$1,414.68
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 $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.16 / $889.50 / $1,502.06	Professional		$595.16	$889.50	$1,502.06