Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.33 / $6,251.00 / $11,581.00	Facility		$1,265.33	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.77 / $862.46 / $1,711.51	Professional		$742.77	$862.46	$1,711.51
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 $856.06 / $1,163.22 / $1,882.19	Professional		$856.06	$1,163.22	$1,882.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $777.66 / $998.06 / $1,325.55	Facility		$777.66	$998.06	$1,325.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $914.89 / $1,164.41 / $127,498.73	Professional		$914.89	$1,164.41	$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 $870.11 / $1,231.67 / $1,764.92	Professional		$870.11	$1,231.67	$1,764.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $873.31 / $1,235.43 / $1,797.80	Professional		$873.31	$1,235.43	$1,797.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $622.08 / $1,056.11	Professional		$72.37	$622.08	$1,056.11
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 $732.76 / $1,102.11 / $1,759.53	Professional		$732.76	$1,102.11	$1,759.53