Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,201.00 / $11,627.00	Facility		$1,165.00	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.98 / $886.06 / $1,729.71	Professional		$757.98	$886.06	$1,729.71
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 $749.35 / $993.30 / $1,674.51	Professional		$749.35	$993.30	$1,674.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.88 / $862.78 / $1,256.32	Facility		$790.88	$862.78	$1,256.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.21 / $930.45 / $1,184.20	Professional		$758.21	$930.45	$1,184.20
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 $881.19 / $1,184.20 / $1,681.11	Professional		$881.19	$1,184.20	$1,681.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $1,016.63	Facility		$1,016.63	$1,016.63	$1,016.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $888.15 / $1,184.20 / $1,754.86	Professional		$888.15	$1,184.20	$1,754.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $650.55 / $1,073.17	Professional		$72.32	$650.55	$1,073.17
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 $712.02 / $1,083.50 / $1,773.40	Professional		$712.02	$1,083.50	$1,773.40