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 $729.86 / $849.95 / $1,695.47	Professional		$729.86	$849.95	$1,695.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,565.00 / $30,285.00	Facility		$2,674.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.29 / $949.07 / $1,534.49	Professional		$707.29	$949.07	$1,534.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $923.65 / $923.65 / $923.65	Professional		$923.65	$923.65	$923.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.26 / $833.74 / $1,214.04	Facility		$764.26	$833.74	$1,214.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $750.75 / $899.13 / $1,144.34	Professional		$750.75	$899.13	$1,144.34
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 $846.40 / $1,144.33 / $1,623.02	Professional		$846.40	$1,144.33	$1,623.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $993.19 / $993.19 / $993.19	Facility		$993.19	$993.19	$993.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $846.40 / $1,153.94 / $1,631.78	Professional		$846.40	$1,153.94	$1,631.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $600.41 / $1,021.46	Professional		$107.36	$600.41	$1,021.46
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 $681.26 / $1,040.02 / $1,701.43	Professional		$681.26	$1,040.02	$1,701.43