Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.36 / $6,251.00 / $11,581.00	Facility		$1,227.36	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.11 / $843.52 / $1,726.42	Professional		$711.11	$843.52	$1,726.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.00 / $6,934.00 / $30,285.00	Facility		$2,782.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.23 / $992.06 / $1,543.05	Professional		$711.23	$992.06	$1,543.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.65 / $969.82 / $1,288.04	Facility		$755.65	$969.82	$1,288.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.00 / $1,131.45 / $127,498.73	Professional		$889.00	$1,131.45	$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 $848.59 / $1,153.41 / $1,672.75	Professional		$848.59	$1,153.41	$1,672.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $965.68 / $965.68 / $965.68	Facility		$965.68	$965.68	$965.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $848.59 / $1,171.85 / $1,672.75	Professional		$848.59	$1,171.85	$1,672.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $589.74 / $1,010.32	Professional		$72.37	$589.74	$1,010.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.44 / $1,054.29 / $1,688.87	Professional		$679.44	$1,054.29	$1,688.87