Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.95 / $6,251.00 / $11,581.00	Facility		$1,332.95	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.23 / $909.06 / $1,793.35	Professional		$774.23	$909.06	$1,793.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.53 / $968.75 / $1,539.91	Professional		$713.53	$968.75	$1,539.91
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 / $1,719.75	Professional		$913.52	$1,229.27	$1,719.75
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 / $1,254.44 / $1,719.75	Professional		$921.95	$1,254.44	$1,719.75
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 $4,227.00 / $8,105.00 / $13,009.00	Facility		$4,227.00	$8,105.00	$13,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.35 / $1,129.14 / $1,851.38	Professional		$738.35	$1,129.14	$1,851.38