Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.21 / $6,251.00 / $11,581.00	Facility		$1,013.21	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $681.38 / $1,408.59	Professional		$592.02	$681.38	$1,408.59
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 $566.54 / $799.82 / $1,330.04	Professional		$566.54	$799.82	$1,330.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.54 / $675.88 / $984.17	Facility		$619.54	$675.88	$984.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $728.88 / $927.67	Professional		$587.00	$728.88	$927.67
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 $682.73 / $927.67 / $1,323.67	Professional		$682.73	$927.67	$1,323.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $806.04 / $806.04 / $806.04	Facility		$806.04	$806.04	$806.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $682.73 / $940.45 / $1,359.29	Professional		$682.73	$940.45	$1,359.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $489.12 / $823.62	Professional		$72.32	$489.12	$823.62
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 $551.61 / $822.80 / $1,360.00	Professional		$551.61	$822.80	$1,360.00