Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.49 / $3,401.00 / $10,635.00	Facility		$1,203.49	$3,401.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.24 / $929.59 / $1,719.40	Professional		$814.24	$929.59	$1,719.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.84 / $957.04 / $1,530.30	Professional		$685.84	$957.04	$1,530.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $855.61 / $1,098.10 / $1,359.15	Facility		$855.61	$1,098.10	$1,359.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.60 / $1,281.13 / $127,498.73	Professional		$1,006.60	$1,281.13	$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 $915.09 / $1,255.77 / $1,755.67	Professional		$915.09	$1,255.77	$1,755.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $1,090.33 / $1,090.33	Facility		$1,090.33	$1,090.33	$1,090.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $944.63 / $1,281.13 / $1,755.67	Professional		$944.63	$1,281.13	$1,755.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $728.48 / $1,179.24	Professional		$104.14	$728.48	$1,179.24
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 $760.08 / $1,169.34 / $1,801.87	Professional		$760.08	$1,169.34	$1,801.87