Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,689.41 / $10,635.00	Facility		$1,000.00	$2,689.41	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $780.25 / $2,022.46	Professional		$715.25	$780.25	$2,022.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $735.60 / $2,897.00	Facility		$337.94	$735.60	$2,897.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.74 / $942.63 / $1,559.78	Professional		$700.74	$942.63	$1,559.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.09 / $769.19 / $1,120.04	Facility		$705.09	$769.19	$1,120.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.52 / $829.52 / $1,055.75	Professional		$829.52	$829.52	$1,055.75
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 $791.82 / $1,108.55 / $1,652.89	Professional		$791.82	$1,108.55	$1,652.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $903.07	Facility		$903.07	$903.07	$903.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $791.82 / $1,168.88 / $1,642.43	Professional		$791.82	$1,168.88	$1,642.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.77 / $868.30 / $1,202.19	Professional		$660.77	$868.30	$1,202.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.46 / $1,005.18 / $1,638.56	Professional		$676.46	$1,005.18	$1,638.56