Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.44 / $5,135.00 / $10,817.74	Facility		$1,022.44	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.90 / $798.31 / $1,518.62	Professional		$688.90	$798.31	$1,518.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.85 / $852.15 / $1,338.30	Professional		$629.85	$852.15	$1,338.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $726.17 / $931.98 / $1,237.79	Facility		$726.17	$931.98	$1,237.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $854.32 / $1,087.31 / $127,498.73	Professional		$854.32	$1,087.31	$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 $776.65 / $1,087.31 / $1,517.14	Professional		$776.65	$1,087.31	$1,517.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $926.03	Facility		$926.03	$926.03	$926.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $815.48 / $1,118.68 / $1,491.33	Professional		$815.48	$1,118.68	$1,491.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $622.12 / $1,012.86	Professional		$71.16	$622.12	$1,012.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.84 / $1,022.97 / $1,527.89	Professional		$654.84	$1,022.97	$1,527.89