Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.91 / $5,135.00 / $10,817.74	Facility		$1,074.91	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.36 / $809.23 / $1,622.76	Professional		$699.36	$809.23	$1,622.76
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 $656.48 / $907.14 / $1,529.43	Professional		$656.48	$907.14	$1,529.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.83 / $800.54 / $1,165.70	Facility		$733.83	$800.54	$1,165.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.55 / $863.34 / $1,098.79	Professional		$663.55	$863.34	$1,098.79
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 $807.17 / $1,098.80 / $1,547.79	Professional		$807.17	$1,098.80	$1,547.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $807.17 / $1,100.13 / $1,560.50	Professional		$807.17	$1,100.13	$1,560.50
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 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.99 / $974.65 / $1,596.05	Professional		$649.99	$974.65	$1,596.05