Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.95 / $6,193.00 / $11,581.00	Facility		$1,332.95	$6,193.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $909.06 / $2,630.48	Professional		$787.82	$909.06	$2,630.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $29,300.94 / $53,822.78	Facility		$3,405.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.77 / $983.15 / $1,563.41	Professional		$731.77	$983.15	$1,563.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $820.97 / $1,053.66 / $1,399.40	Facility		$820.97	$1,053.66	$1,399.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $965.86 / $1,229.27 / $127,498.73	Professional		$965.86	$1,229.27	$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 $913.52 / $1,229.27 / $1,763.72	Professional		$913.52	$1,229.27	$1,763.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $921.95 / $1,258.34 / $1,763.72	Professional		$921.95	$1,258.34	$1,763.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,129.01	Professional		$72.37	$653.07	$1,129.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.26 / $1,109.00 / $1,851.38	Professional		$726.26	$1,109.00	$1,851.38