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 $695.23 / $816.88 / $1,612.31	Professional		$695.23	$816.88	$1,612.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,565.00 / $30,285.00	Facility		$2,777.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.09 / $928.63 / $1,507.93	Professional		$666.09	$928.63	$1,507.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $949.74 / $1,175.51	Facility		$740.00	$949.74	$1,175.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $1,108.03 / $127,498.73	Professional		$870.60	$1,108.03	$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 $831.02 / $1,110.48 / $1,585.27	Professional		$831.02	$1,110.48	$1,585.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $831.02 / $1,127.58 / $1,597.20	Professional		$831.02	$1,127.58	$1,597.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $590.48 / $981.63	Professional		$72.37	$590.48	$981.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $1,032.59 / $1,710.92	Professional		$670.72	$1,032.59	$1,710.92