Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.50 / $2,936.00 / $10,268.00	Facility		$1,287.50	$2,936.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $874.11 / $1,611.09	Professional		$805.01	$874.11	$1,611.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,003.00 / $30,285.00	Facility		$2,670.00	$6,003.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.93 / $984.51 / $1,542.67	Professional		$726.93	$984.51	$1,542.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.43 / $1,020.88 / $1,355.85	Facility		$795.43	$1,020.88	$1,355.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $935.80 / $1,191.02 / $127,498.73	Professional		$935.80	$1,191.02	$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 $893.26 / $1,204.81 / $1,752.05	Professional		$893.26	$1,204.81	$1,752.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $893.26 / $1,227.35 / $1,752.05	Professional		$893.26	$1,227.35	$1,752.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $622.08 / $1,083.97	Professional		$72.37	$622.08	$1,083.97
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 $741.28 / $1,121.74 / $1,834.01	Professional		$741.28	$1,121.74	$1,834.01