Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,201.00 / $11,627.00	Facility		$1,165.00	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.17 / $799.44 / $1,603.31	Professional		$691.17	$799.44	$1,603.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,565.00 / $30,285.00	Facility		$2,674.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.56 / $902.78 / $1,469.98	Professional		$677.56	$902.78	$1,469.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.97 / $930.44 / $1,235.75	Facility		$724.97	$930.44	$1,235.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $852.91 / $1,085.52 / $127,498.73	Professional		$852.91	$1,085.52	$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 $788.33 / $1,085.51 / $1,534.27	Professional		$788.33	$1,085.51	$1,534.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $943.23	Facility		$943.23	$943.23	$943.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,098.84 / $1,549.36	Professional		$788.33	$1,098.84	$1,549.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $565.58 / $973.98	Professional		$107.36	$565.58	$973.98
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 $638.67 / $951.76 / $1,557.74	Professional		$638.67	$951.76	$1,557.74