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 $706.08 / $815.61 / $1,647.00	Professional		$706.08	$815.61	$1,647.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.64 / $850.35 / $1,381.22	Professional		$612.64	$850.35	$1,381.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $737.97 / $805.06 / $1,172.27	Facility		$737.97	$805.06	$1,172.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $868.20 / $1,104.98	Professional		$656.97	$868.20	$1,104.98
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 $794.95 / $1,061.18 / $1,521.71	Professional		$794.95	$1,061.18	$1,521.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $963.00 / $963.00 / $963.00	Facility		$963.00	$963.00	$963.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $791.00 / $1,072.44 / $1,548.05	Professional		$791.00	$1,072.44	$1,548.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $586.11 / $1,010.12	Professional		$107.36	$586.11	$1,010.12
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 $626.95 / $947.12 / $1,619.41	Professional		$626.95	$947.12	$1,619.41