Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.76 / $5,135.00 / $10,817.74	Facility		$1,105.76	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $841.33 / $1,670.77	Professional		$720.21	$841.33	$1,670.77
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 $687.31 / $944.18 / $1,591.88	Professional		$687.31	$944.18	$1,591.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.72 / $969.91 / $1,200.48	Facility		$755.72	$969.91	$1,200.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.09 / $1,131.56 / $127,498.73	Professional		$889.09	$1,131.56	$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 $833.38 / $1,131.57 / $1,622.52	Professional		$833.38	$1,131.57	$1,622.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $981.27	Facility		$981.27	$981.27	$981.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $833.38 / $1,137.39 / $1,622.52	Professional		$833.38	$1,137.39	$1,622.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $588.45 / $1,010.12	Professional		$107.36	$588.45	$1,010.12
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 $659.38 / $1,020.89 / $1,660.09	Professional		$659.38	$1,020.89	$1,660.09