Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.32 / $6,251.00 / $11,581.00	Facility		$1,063.32	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.04 / $723.49 / $1,959.30	Professional		$617.04	$723.49	$1,959.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.89 / $849.91 / $1,371.07	Professional		$595.89	$849.91	$1,371.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $841.26 / $1,117.31	Facility		$655.48	$841.26	$1,117.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $771.16 / $981.47 / $127,498.73	Professional		$771.16	$981.47	$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 $736.10 / $994.46 / $1,424.25	Professional		$736.10	$994.46	$1,424.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $837.71 / $837.71 / $837.71	Facility		$837.71	$837.71	$837.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $736.10 / $1,002.94 / $1,424.25	Professional		$736.10	$1,002.94	$1,424.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.30 / $916.39 / $1,473.02	Professional		$603.30	$916.39	$1,473.02