Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.14 / $5,135.00 / $10,817.74	Facility		$1,155.14	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $879.77 / $1,747.43	Professional		$744.72	$879.77	$1,747.43
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 $709.98 / $977.26 / $1,632.67	Professional		$709.98	$977.26	$1,632.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.37 / $861.13 / $1,253.93	Facility		$789.37	$861.13	$1,253.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $786.09 / $928.68 / $1,181.95	Professional		$786.09	$928.68	$1,181.95
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 $874.07 / $1,181.95 / $1,680.41	Professional		$874.07	$1,181.95	$1,680.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,025.26 / $1,025.26 / $1,025.26	Facility		$1,025.26	$1,025.26	$1,025.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $874.07 / $1,187.59 / $1,691.42	Professional		$874.07	$1,187.59	$1,691.42
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 $702.51 / $1,057.33 / $1,741.15	Professional		$702.51	$1,057.33	$1,741.15