Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.00 / $6,251.00 / $11,581.00	Facility		$1,118.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.02 / $812.35 / $1,602.67	Professional		$695.02	$812.35	$1,602.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $7,398.00 / $36,529.00	Facility		$2,134.00	$7,398.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.82 / $848.14 / $1,339.40	Professional		$594.82	$848.14	$1,339.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $734.91 / $943.20 / $1,167.41	Facility		$734.91	$943.20	$1,167.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $864.60 / $1,100.40 / $127,498.73	Professional		$864.60	$1,100.40	$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 $824.07 / $1,100.41 / $1,533.52	Professional		$824.07	$1,100.41	$1,533.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $938.52 / $938.52 / $938.52	Facility		$938.52	$938.52	$938.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $825.30 / $1,110.68 / $1,507.64	Professional		$825.30	$1,110.68	$1,507.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $589.74 / $983.32	Professional		$72.32	$589.74	$983.32
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 $649.27 / $998.88 / $1,658.14	Professional		$649.27	$998.88	$1,658.14