Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.41 / $6,251.00 / $11,581.00	Facility		$1,243.41	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.67 / $842.10 / $1,669.72	Professional		$720.67	$842.10	$1,669.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $29,300.94 / $53,822.78	Facility		$3,405.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $930.26 / $1,515.96	Professional		$678.02	$930.26	$1,515.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.41 / $835.00 / $1,215.85	Facility		$765.41	$835.00	$1,215.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.45 / $900.48 / $1,146.07	Professional		$849.45	$900.48	$1,146.07
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 $851.90 / $1,146.07 / $1,593.72	Professional		$851.90	$1,146.07	$1,593.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $978.32	Facility		$978.32	$978.32	$978.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $859.18 / $1,146.07 / $1,616.21	Professional		$859.18	$1,146.07	$1,616.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $603.28 / $1,021.64	Professional		$72.37	$603.28	$1,021.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.44 / $1,038.01 / $1,709.26	Professional		$688.44	$1,038.01	$1,709.26