Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.58 / $4,871.00 / $11,627.00	Facility		$1,065.58	$4,871.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,065.58 / $1,938.01	Professional		$916.12	$1,065.58	$1,938.01
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 $522.83 / $768.87 / $1,464.02	Professional		$522.83	$768.87	$1,464.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $975.48 / $1,251.95 / $1,662.75	Facility		$975.48	$1,251.95	$1,662.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.61 / $1,460.61 / $127,498.73	Professional		$1,147.61	$1,460.61	$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 $1,043.29 / $1,445.86 / $2,018.09	Professional		$1,043.29	$1,445.86	$2,018.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,247.64 / $1,247.64 / $1,247.64	Facility		$1,247.64	$1,247.64	$1,247.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,043.29 / $1,460.61 / $2,003.29	Professional		$1,043.29	$1,460.61	$2,003.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $757.07 / $1,317.00	Professional		$107.98	$757.07	$1,317.00
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 $853.43 / $1,297.49 / $2,129.86	Professional		$853.43	$1,297.49	$2,129.86