Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.06 / $5,201.00 / $11,627.00	Facility		$1,252.06	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.60 / $979.61 / $1,921.06	Professional		$842.60	$979.61	$1,921.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $8,010.00 / $36,529.00	Facility		$2,134.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.19 / $1,080.72 / $1,712.72	Professional		$820.19	$1,080.72	$1,712.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.77 / $1,134.25 / $1,403.88	Facility		$883.77	$1,134.25	$1,403.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,039.73 / $1,323.29 / $127,498.73	Professional		$1,039.73	$1,323.29	$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 $992.47 / $1,370.31 / $1,957.76	Professional		$992.47	$1,370.31	$1,957.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,126.75 / $1,126.75	Facility		$1,126.75	$1,126.75	$1,126.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $992.47 / $1,375.39 / $1,957.76	Professional		$992.47	$1,375.39	$1,957.76
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 $4,534.00 / $9,390.00 / $12,871.00	Facility		$4,534.00	$9,390.00	$12,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.64 / $1,211.84 / $2,010.63	Professional		$784.64	$1,211.84	$2,010.63