Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.28 / $684.51 / $1,363.72	Professional		$591.28	$684.51	$1,363.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $5,849.00 / $17,584.00	Facility		$1,093.00	$5,849.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.74 / $737.37 / $1,196.63	Professional		$550.74	$737.37	$1,196.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.77 / $804.41 / $1,068.35	Facility		$626.77	$804.41	$1,068.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.37 / $938.48 / $127,498.73	Professional		$737.37	$938.48	$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 $703.86 / $935.66 / $1,286.86	Professional		$703.86	$935.66	$1,286.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $802.37	Facility		$802.37	$802.37	$802.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $703.86 / $938.48 / $1,286.86	Professional		$703.86	$938.48	$1,286.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $495.24 / $829.20	Professional		$72.37	$495.24	$829.20
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 $560.66 / $841.84 / $1,395.15	Professional		$560.66	$841.84	$1,395.15