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 $612.73 / $714.13 / $1,411.64	Professional		$612.73	$714.13	$1,411.64
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 $303.95 / $479.05 / $969.40	Professional		$303.95	$479.05	$969.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.10 / $703.74 / $1,024.75	Facility		$645.10	$703.74	$1,024.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $599.54 / $758.93 / $965.92	Professional		$599.54	$758.93	$965.92
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 $689.94 / $949.27 / $1,392.67	Professional		$689.94	$949.27	$1,392.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $833.15 / $833.15 / $833.15	Facility		$833.15	$833.15	$833.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $724.43 / $965.91 / $1,392.61	Professional		$724.43	$965.91	$1,392.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $520.61 / $867.78	Professional		$72.37	$520.61	$867.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.29 / $899.62 / $1,494.76	Professional		$585.29	$899.62	$1,494.76