Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.50 / $4,590.00 / $10,817.74	Facility		$991.50	$4,590.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.32 / $737.81 / $1,455.14	Professional		$629.32	$737.81	$1,455.14
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 $608.22 / $858.67 / $1,382.36	Professional		$608.22	$858.67	$1,382.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.05 / $858.67 / $1,062.78	Facility		$669.05	$858.67	$1,062.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $1,001.78 / $127,498.73	Professional		$787.12	$1,001.78	$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 $751.34 / $1,010.45 / $1,453.26	Professional		$751.34	$1,010.45	$1,453.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $855.57	Facility		$855.57	$855.57	$855.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $751.34 / $1,017.85 / $1,453.26	Professional		$751.34	$1,017.85	$1,453.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $505.93 / $891.42	Professional		$72.37	$505.93	$891.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,737.62 / $9,483.00	Facility		$3,879.00	$5,737.62	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $913.22 / $1,490.16	Professional		$601.90	$913.22	$1,490.16