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 $758.28 / $884.79 / $1,757.31	Professional		$758.28	$884.79	$1,757.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.99 / $1,013.92 / $1,638.54	Professional		$721.99	$1,013.92	$1,638.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.12 / $1,032.02 / $1,370.66	Facility		$804.12	$1,032.02	$1,370.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $946.02 / $1,204.03 / $127,498.73	Professional		$946.02	$1,204.03	$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 $903.02 / $1,204.02 / $1,680.79	Professional		$903.02	$1,204.02	$1,680.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $903.02 / $1,206.24 / $1,723.96	Professional		$903.02	$1,206.24	$1,723.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,097.26	Professional		$72.37	$653.07	$1,097.26
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 $723.35 / $1,092.35 / $1,798.75	Professional		$723.35	$1,092.35	$1,798.75