Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.39 / $681.96 / $1,349.59	Professional		$582.39	$681.96	$1,349.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.71 / $710.49 / $1,168.92	Professional		$518.71	$710.49	$1,168.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.48 / $797.62 / $1,059.33	Facility		$621.48	$797.62	$1,059.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.15 / $930.55 / $127,498.73	Professional		$731.15	$930.55	$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 $690.00 / $930.55 / $1,282.71	Professional		$690.00	$930.55	$1,282.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $795.67	Facility		$795.67	$795.67	$795.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $697.92 / $930.55 / $1,279.99	Professional		$697.92	$930.55	$1,279.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $473.48 / $820.22	Professional		$72.37	$473.48	$820.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $831.37 / $1,393.01	Professional		$542.42	$831.37	$1,393.01