Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.31 / $6,251.00 / $11,581.00	Facility		$1,075.31	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.58 / $765.67 / $1,447.21	Professional		$655.58	$765.67	$1,447.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.28 / $876.49 / $1,447.00	Professional		$677.28	$876.49	$1,447.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $659.51 / $719.46 / $1,047.61	Facility		$659.51	$719.46	$1,047.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $701.75 / $775.89 / $987.49	Professional		$701.75	$775.89	$987.49
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 $727.25 / $1,021.55 / $1,493.25	Professional		$727.25	$1,021.55	$1,493.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $853.33	Facility		$853.33	$853.33	$853.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $1,028.97 / $1,479.77	Professional		$735.05	$1,028.97	$1,479.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $523.49 / $895.36	Professional		$72.37	$523.49	$895.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $935.56 / $1,464.22	Professional		$595.34	$935.56	$1,464.22