Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.07 / $5,217.00 / $11,627.00	Facility		$1,352.07	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.84 / $1,060.05 / $2,699.79	Professional		$905.84	$1,060.05	$2,699.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.41 / $1,178.63 / $1,954.31	Professional		$864.41	$1,178.63	$1,954.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $952.37 / $1,222.30 / $1,623.36	Facility		$952.37	$1,222.30	$1,623.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.44 / $1,426.01 / $127,498.73	Professional		$1,120.44	$1,426.01	$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 $1,069.19 / $1,456.19 / $2,085.32	Professional		$1,069.19	$1,456.19	$2,085.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,215.80 / $1,215.80	Facility		$1,215.80	$1,215.80	$1,215.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,069.51 / $1,468.67 / $2,085.32	Professional		$1,069.51	$1,468.67	$2,085.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $752.46 / $1,285.56	Professional		$108.15	$752.46	$1,285.56
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 $881.96 / $1,313.94 / $2,127.09	Professional		$881.96	$1,313.94	$2,127.09