Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.58 / $4,723.00 / $11,627.00	Facility		$936.58	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.03 / $953.07 / $1,710.92	Professional		$817.03	$953.07	$1,710.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $41,878.69 / $76,926.81	Facility		$3,315.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.44 / $1,062.83 / $1,699.94	Professional		$764.44	$1,062.83	$1,699.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $858.35 / $1,101.61 / $1,463.10	Facility		$858.35	$1,101.61	$1,463.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,009.82 / $1,285.23 / $127,498.73	Professional		$1,009.82	$1,285.23	$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 $963.79 / $1,283.38 / $1,787.10	Professional		$963.79	$1,283.38	$1,787.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $963.92 / $1,285.23 / $1,821.35	Professional		$963.92	$1,285.23	$1,821.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $685.57 / $1,170.21	Professional		$72.37	$685.57	$1,170.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,267.00 / $15,869.00	Facility		$5,351.00	$11,267.00	$15,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.31 / $1,172.96 / $1,931.48	Professional		$775.31	$1,172.96	$1,931.48