Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.28 / $5,201.00 / $11,627.00	Facility		$1,173.28	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $916.07 / $1,808.97	Professional		$804.25	$916.07	$1,808.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,485.00 / $8,800.00	Facility		$1,152.00	$3,485.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.08 / $1,007.27 / $1,598.52	Professional		$763.08	$1,007.27	$1,598.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,063.33 / $1,063.33 / $1,063.33	Professional		$1,063.33	$1,063.33	$1,063.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $828.52 / $1,063.33 / $1,412.25	Facility		$828.52	$1,063.33	$1,412.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $974.73 / $1,240.57 / $127,498.73	Professional		$974.73	$1,240.57	$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 $918.96 / $1,281.93 / $1,831.66	Professional		$918.96	$1,281.93	$1,831.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $930.43 / $1,284.94 / $1,835.28	Professional		$930.43	$1,284.94	$1,835.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,097.26	Professional		$72.37	$653.07	$1,097.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.69 / $1,163.68 / $1,890.89	Professional		$746.69	$1,163.68	$1,890.89