Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.45 / $4,198.00 / $10,635.00	Facility		$1,092.45	$4,198.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.34 / $735.31 / $1,461.76	Professional		$636.34	$735.31	$1,461.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.99 / $1,000.41 / $1,652.84	Professional		$742.99	$1,000.41	$1,652.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $672.94 / $734.11 / $1,068.98	Facility		$672.94	$734.11	$1,068.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.69 / $791.69 / $1,007.61	Professional		$791.69	$791.69	$1,007.61
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 $752.68 / $1,057.60 / $1,516.02	Professional		$752.68	$1,057.60	$1,516.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $861.51 / $861.51 / $861.51	Facility		$861.51	$861.51	$861.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $752.68 / $1,059.68 / $1,547.78	Professional		$752.68	$1,059.68	$1,547.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $535.89 / $908.12	Professional		$72.37	$535.89	$908.12
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 $603.48 / $953.00 / $1,499.34	Professional		$603.48	$953.00	$1,499.34