Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.33 / $3,325.00 / $10,635.00	Facility		$1,053.33	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.39 / $774.11 / $1,432.97	Professional		$664.39	$774.11	$1,432.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,528.00 / $14,996.00	Facility		$1,525.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $847.88 / $1,384.07	Professional		$631.04	$847.88	$1,384.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.58 / $905.56 / $1,202.69	Facility		$705.58	$905.56	$1,202.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.09 / $1,056.48 / $127,498.73	Professional		$830.09	$1,056.48	$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 $754.63 / $1,056.48 / $1,461.77	Professional		$754.63	$1,056.48	$1,461.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $792.36 / $1,066.78 / $1,447.51	Professional		$792.36	$1,066.78	$1,447.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $694.02 / $1,035.51	Professional		$67.21	$694.02	$1,035.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,998.00 / $9,245.00	Facility		$2,904.00	$5,998.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.30 / $983.47 / $1,471.27	Professional		$633.30	$983.47	$1,471.27