Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.83 / $701.69 / $1,385.71	Professional		$598.83	$701.69	$1,385.71
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 $569.59 / $792.55 / $1,299.78	Professional		$569.59	$792.55	$1,299.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.14 / $695.06 / $1,012.10	Facility		$637.14	$695.06	$1,012.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $705.29 / $749.57 / $954.00	Professional		$705.29	$749.57	$954.00
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 $715.50 / $954.00 / $1,366.44	Professional		$715.50	$954.00	$1,366.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $815.40	Facility		$815.40	$815.40	$815.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $965.22 / $1,366.44	Professional		$715.50	$965.22	$1,366.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
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 $571.34 / $890.11 / $1,456.23	Professional		$571.34	$890.11	$1,456.23