Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.88 / $5,201.00 / $11,627.00	Facility		$1,231.88	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.60 / $828.43 / $1,663.54	Professional		$716.60	$828.43	$1,663.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,287.00 / $7,946.96 / $14,996.00	Facility		$3,287.00	$7,946.96	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.89 / $876.66 / $1,457.56	Professional		$636.89	$876.66	$1,457.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.62 / $964.64 / $1,193.96	Facility		$751.62	$964.64	$1,193.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $884.26 / $1,125.42 / $127,498.73	Professional		$884.26	$1,125.42	$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 $829.12 / $1,125.42 / $1,573.43	Professional		$829.12	$1,125.42	$1,573.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $976.05	Facility		$976.05	$976.05	$976.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $829.12 / $1,125.42 / $1,574.45	Professional		$829.12	$1,125.42	$1,574.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $565.58 / $999.95	Professional		$107.36	$565.58	$999.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.72 / $1,003.42 / $1,666.70	Professional		$662.72	$1,003.42	$1,666.70