Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.78 / $6,251.00 / $11,581.00	Facility		$1,386.78	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.73 / $953.96 / $1,864.28	Professional		$802.73	$953.96	$1,864.28
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 $775.27 / $1,048.10 / $1,670.73	Professional		$775.27	$1,048.10	$1,670.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $852.81 / $1,094.51 / $1,453.65	Facility		$852.81	$1,094.51	$1,453.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,003.30 / $1,276.93 / $127,498.73	Professional		$1,003.30	$1,276.93	$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 $957.69 / $1,288.30 / $1,851.08	Professional		$957.69	$1,288.30	$1,851.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,089.18	Facility		$1,089.18	$1,089.18	$1,089.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $957.69 / $1,296.11 / $1,851.08	Professional		$957.69	$1,296.11	$1,851.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $667.56 / $1,134.87	Professional		$72.37	$667.56	$1,134.87
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 $783.17 / $1,187.36 / $1,951.70	Professional		$783.17	$1,187.36	$1,951.70