Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $769.35 / $1,519.07	Professional		$657.74	$769.35	$1,519.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.26 / $881.36 / $1,401.71	Professional		$623.26	$881.36	$1,401.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.80 / $760.14 / $1,106.85	Facility		$696.80	$760.14	$1,106.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.85 / $819.75 / $1,043.32	Professional		$765.85	$819.75	$1,043.32
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 $782.49 / $1,043.32 / $1,473.58	Professional		$782.49	$1,043.32	$1,473.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $890.16	Facility		$890.16	$890.16	$890.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $782.49 / $1,066.27 / $1,473.58	Professional		$782.49	$1,066.27	$1,473.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $545.77 / $944.99	Professional		$72.32	$545.77	$944.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.96 / $946.09 / $1,557.90	Professional		$614.96	$946.09	$1,557.90