Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $4,361.20 / $10,635.00	Facility		$1,134.00	$4,361.20	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.59 / $762.61 / $1,534.77	Professional		$680.59	$762.61	$1,534.77
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 $636.19 / $898.15 / $1,493.55	Professional		$636.19	$898.15	$1,493.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.81 / $752.52 / $1,095.79	Facility		$689.81	$752.52	$1,095.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $659.17 / $811.55 / $1,032.88	Professional		$659.17	$811.55	$1,032.88
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 $760.54 / $1,032.86 / $1,460.18	Professional		$760.54	$1,032.86	$1,460.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $902.97	Facility		$902.97	$902.97	$902.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $760.54 / $1,044.80 / $1,550.02	Professional		$760.54	$1,044.80	$1,550.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $533.25 / $929.09	Professional		$107.36	$533.25	$929.09
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 $616.34 / $927.86 / $1,502.83	Professional		$616.34	$927.86	$1,502.83