Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.20 / $6,251.00 / $11,581.00	Facility		$1,294.20	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $881.41 / $1,739.11	Professional		$750.87	$881.41	$1,739.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.56 / $1,009.26 / $1,635.81	Professional		$724.56	$1,009.26	$1,635.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.03 / $1,022.92 / $1,358.57	Facility		$797.03	$1,022.92	$1,358.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.67 / $1,193.40 / $127,498.73	Professional		$937.67	$1,193.40	$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 $895.06 / $1,198.57 / $1,719.69	Professional		$895.06	$1,198.57	$1,719.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $895.06 / $1,216.10 / $1,719.69	Professional		$895.06	$1,216.10	$1,719.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $650.91 / $1,074.65	Professional		$72.37	$650.91	$1,074.65
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 $725.66 / $1,075.60 / $1,755.61	Professional		$725.66	$1,075.60	$1,755.61