Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.67 / $4,865.00 / $11,627.00	Facility		$993.67	$4,865.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.58 / $1,000.80 / $1,720.31	Professional		$864.58	$1,000.80	$1,720.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $15,258.77 / $26,788.67	Facility		$4,142.00	$15,258.77	$26,788.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.86 / $1,029.57 / $1,643.59	Professional		$672.86	$1,029.57	$1,643.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.02 / $1,265.48 / $1,680.72	Facility		$986.02	$1,265.48	$1,680.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,160.03 / $1,476.40 / $127,498.73	Professional		$1,160.03	$1,476.40	$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 $948.34 / $1,370.94 / $2,014.56	Professional		$948.34	$1,370.94	$2,014.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,249.74 / $1,249.74 / $1,249.74	Facility		$1,249.74	$1,249.74	$1,249.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,041.45 / $1,370.94 / $2,014.56	Professional		$1,041.45	$1,370.94	$2,014.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $850.22 / $1,382.97	Professional		$137.63	$850.22	$1,382.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.32 / $1,234.76 / $2,023.14	Professional		$757.32	$1,234.76	$2,023.14