Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.11 / $4,198.00 / $10,635.00	Facility		$975.11	$4,198.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.09 / $872.33 / $1,749.42	Professional		$754.09	$872.33	$1,749.42
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 $704.57 / $961.52 / $1,609.74	Professional		$704.57	$961.52	$1,609.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.25 / $862.09 / $1,255.33	Facility		$790.25	$862.09	$1,255.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $789.94 / $929.71 / $1,183.27	Professional		$789.94	$929.71	$1,183.27
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 $861.79 / $1,183.27 / $1,667.13	Professional		$861.79	$1,183.27	$1,667.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,026.75 / $1,026.75	Facility		$1,026.75	$1,026.75	$1,026.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $861.79 / $1,183.28 / $1,671.45	Professional		$861.79	$1,183.28	$1,671.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $633.50 / $1,085.91	Professional		$107.36	$633.50	$1,085.91
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 $706.10 / $1,044.58 / $1,735.03	Professional		$706.10	$1,044.58	$1,735.03