Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.66 / $5,135.00 / $11,581.00	Facility		$1,070.66	$5,135.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $805.61 / $1,616.09	Professional		$685.77	$805.61	$1,616.09
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 $664.25 / $892.45 / $1,441.12	Professional		$664.25	$892.45	$1,441.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $730.88 / $797.33 / $1,161.02	Facility		$730.88	$797.33	$1,161.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $859.86 / $1,094.36	Professional		$708.38	$859.86	$1,094.36
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 $803.64 / $1,094.36 / $1,539.89	Professional		$803.64	$1,094.36	$1,539.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.82 / $694.82 / $950.32	Facility		$694.82	$694.82	$950.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $803.64 / $1,094.36 / $1,551.10	Professional		$803.64	$1,094.36	$1,551.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $565.58 / $999.95	Professional		$107.36	$565.58	$999.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,821.00	Facility		$2,840.00	$5,920.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.25 / $964.37 / $1,600.85	Professional		$659.25	$964.37	$1,600.85