Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,602.00 / $10,635.00	Facility		$1,000.00	$2,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.32 / $729.02 / $1,910.03	Professional		$643.32	$729.02	$1,910.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.28 / $799.86 / $1,230.56	Professional		$615.28	$799.86	$1,230.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.80 / $726.32 / $1,057.61	Facility		$665.80	$726.32	$1,057.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $783.29 / $783.29 / $996.91	Professional		$783.29	$783.29	$996.91
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 $730.61 / $1,015.26 / $1,468.86	Professional		$730.61	$1,015.26	$1,468.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $852.80	Facility		$852.80	$852.80	$852.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $730.61 / $1,032.52 / $1,468.86	Professional		$730.61	$1,032.52	$1,468.86
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 $595.34 / $936.77 / $1,455.38	Professional		$595.34	$936.77	$1,455.38