Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,606.00 / $11,581.00	Facility		$1,000.00	$2,606.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $729.66 / $1,911.71	Professional		$643.63	$729.66	$1,911.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $800.26 / $1,231.17	Professional		$615.58	$800.26	$1,231.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.41 / $727.00 / $1,058.60	Facility		$666.41	$727.00	$1,058.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.01 / $784.01 / $997.84	Professional		$784.01	$784.01	$997.84
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 $730.97 / $1,015.75 / $1,469.59	Professional		$730.97	$1,015.75	$1,469.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $853.55	Facility		$853.55	$853.55	$853.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $730.97 / $1,033.47 / $1,469.59	Professional		$730.97	$1,033.47	$1,469.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.37 / $823.26 / $1,147.57	Professional		$632.37	$823.26	$1,147.57
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.62 / $918.76 / $1,444.40	Professional		$595.62	$918.76	$1,444.40