Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.61 / $5,135.00 / $10,817.74	Facility		$1,119.61	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.51 / $847.80 / $1,692.06	Professional		$729.51	$847.80	$1,692.06
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 $687.93 / $939.66 / $1,584.26	Professional		$687.93	$939.66	$1,584.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.85 / $981.62 / $1,303.73	Facility		$764.85	$981.62	$1,303.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.82 / $1,145.23 / $127,498.73	Professional		$899.82	$1,145.23	$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 $844.72 / $1,145.23 / $1,622.63	Professional		$844.72	$1,145.23	$1,622.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $993.56 / $993.56 / $993.56	Facility		$993.56	$993.56	$993.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $844.72 / $1,145.23 / $1,640.45	Professional		$844.72	$1,145.23	$1,640.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $598.29 / $1,021.85	Professional		$107.36	$598.29	$1,021.85
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 $679.44 / $1,022.18 / $1,713.94	Professional		$679.44	$1,022.18	$1,713.94