Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,597.00 / $10,268.00	Facility		$1,000.00	$5,597.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.38 / $739.32 / $1,330.15	Professional		$633.38	$739.32	$1,330.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $794.58 / $1,258.39	Professional		$591.63	$794.58	$1,258.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $862.90 / $862.90 / $862.90	Professional		$862.90	$862.90	$862.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.34 / $862.90 / $1,146.03	Facility		$672.34	$862.90	$1,146.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.99 / $1,006.71 / $127,498.73	Professional		$790.99	$1,006.71	$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 $755.04 / $1,006.72 / $1,425.96	Professional		$755.04	$1,006.72	$1,425.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $860.40 / $860.40 / $860.40	Facility		$860.40	$860.40	$860.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $755.04 / $1,019.94 / $1,425.96	Professional		$755.04	$1,019.94	$1,425.96
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 $2,840.00 / $5,625.00 / $7,853.00	Facility		$2,840.00	$5,625.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.65 / $930.31 / $1,604.47	Professional		$600.65	$930.31	$1,604.47