Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,064.00 / $11,581.00	Facility		$1,375.00	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.69 / $955.79 / $1,751.70	Professional		$885.69	$955.79	$1,751.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,443.00 / $8,800.00	Facility		$993.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.13 / $1,054.04 / $1,733.09	Professional		$796.13	$1,054.04	$1,733.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.80 / $1,089.35 / $1,348.32	Facility		$907.80	$1,089.35	$1,348.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.14 / $998.58 / $1,180.14	Professional		$765.14	$998.58	$1,180.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,935.02 / $2,837.31	Facility		$790.00	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.20 / $1,250.32 / $1,896.15	Professional		$843.20	$1,250.32	$1,896.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,935.02 / $2,113.67	Facility		$790.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $848.79 / $1,268.89 / $1,896.15	Professional		$848.79	$1,268.89	$1,896.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $901.28 / $1,319.66	Professional		$72.25	$901.28	$1,319.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.54 / $1,140.79 / $2,012.75	Professional		$820.54	$1,140.79	$2,012.75