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 $582.95 / $684.79 / $1,353.12	Professional		$582.95	$684.79	$1,353.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.02 / $768.85 / $1,236.46	Professional		$551.02	$768.85	$1,236.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.78 / $798.00 / $987.70	Facility		$621.78	$798.00	$987.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.50 / $931.00 / $127,498.73	Professional		$731.50	$931.00	$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 $698.26 / $931.01 / $1,295.18	Professional		$698.26	$931.01	$1,295.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $796.05	Facility		$796.05	$796.05	$796.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $698.26 / $944.00 / $1,363.23	Professional		$698.26	$944.00	$1,363.23
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 $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 $557.16 / $853.59 / $1,393.72	Professional		$557.16	$853.59	$1,393.72