Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.27 / $6,251.00 / $11,581.00	Facility		$1,198.27	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.48 / $805.83 / $1,587.48	Professional		$692.48	$805.83	$1,587.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.43 / $959.99 / $1,551.44	Professional		$667.43	$959.99	$1,551.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.14 / $947.35 / $1,172.55	Facility		$738.14	$947.35	$1,172.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.41 / $1,105.24 / $127,498.73	Professional		$868.41	$1,105.24	$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 $813.41 / $1,114.91 / $1,583.24	Professional		$813.41	$1,114.91	$1,583.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $828.93 / $1,125.77 / $1,595.18	Professional		$828.93	$1,125.77	$1,595.18
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 $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 $649.90 / $989.14 / $1,653.14	Professional		$649.90	$989.14	$1,653.14