Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $7,501.00 / $14,579.00	Facility		$1,082.00	$7,501.00	$14,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.20 / $727.64 / $1,219.09	Professional		$524.20	$727.64	$1,219.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $695.36 / $1,321.51	Professional		$562.91	$695.36	$1,321.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $873.03 / $873.03 / $2,631.55	Facility		$873.03	$873.03	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.07 / $1,309.55 / $127,498.73	Professional		$742.07	$1,309.55	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $808.26 / $1,938.72 / $21,571.00	Facility		$808.26	$1,938.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $872.69 / $1,543.99	Professional		$535.00	$872.69	$1,543.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $1,938.72 / $2,161.90	Facility		$1,938.72	$1,938.72	$2,161.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $872.69 / $1,333.83	Professional		$535.00	$872.69	$1,333.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.65 / $723.31 / $1,297.04	Professional		$578.65	$723.31	$1,297.04