Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.30 / $3,325.00 / $10,635.00	Facility		$1,042.30	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.47 / $788.89 / $1,995.21	Professional		$685.47	$788.89	$1,995.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $803.78 / $1,286.96	Professional		$596.09	$803.78	$1,286.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.35 / $782.57 / $1,139.52	Facility		$717.35	$782.57	$1,139.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $711.12 / $843.94 / $1,074.10	Professional		$711.12	$843.94	$1,074.10
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 $777.33 / $1,062.50 / $1,474.23	Professional		$777.33	$1,062.50	$1,474.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $927.20 / $927.20	Facility		$927.20	$927.20	$927.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $779.79 / $1,074.10 / $1,483.12	Professional		$779.79	$1,074.10	$1,483.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $556.59 / $963.11	Professional		$72.37	$556.59	$963.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.02 / $937.60 / $1,531.42	Professional		$609.02	$937.60	$1,531.42