Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.85 / $5,653.00 / $11,581.00	Facility		$1,094.85	$5,653.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.54 / $753.50 / $1,466.73	Professional		$635.54	$753.50	$1,466.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $6,934.00 / $30,285.00	Facility		$2,822.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.05 / $800.38 / $1,263.35	Professional		$593.05	$800.38	$1,263.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $866.30 / $1,150.56	Facility		$674.99	$866.30	$1,150.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.11 / $1,010.69 / $127,498.73	Professional		$794.11	$1,010.69	$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 $758.02 / $1,010.69 / $1,432.94	Professional		$758.02	$1,010.69	$1,432.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $863.75 / $863.75	Facility		$863.75	$863.75	$863.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $758.02 / $1,026.40 / $1,432.94	Professional		$758.02	$1,026.40	$1,432.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $535.89 / $908.12	Professional		$72.37	$535.89	$908.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.97 / $934.28 / $1,513.88	Professional		$604.97	$934.28	$1,513.88