Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,135.00 / $11,627.00	Facility		$1,165.00	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $823.86 / $1,478.08	Professional		$766.75	$823.86	$1,478.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.26 / $962.37 / $1,561.04	Professional		$734.26	$962.37	$1,561.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.10 / $919.32 / $1,137.85	Facility		$766.10	$919.32	$1,137.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $785.25 / $842.71 / $995.93	Professional		$785.25	$842.71	$995.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $5,935.99	Facility		$694.00	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.95 / $1,072.54 / $1,671.07	Professional		$701.95	$1,072.54	$1,671.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $4,422.06	Facility		$694.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $750.78 / $1,086.07 / $1,614.55	Professional		$750.78	$1,086.07	$1,614.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $777.60 / $1,133.93	Professional		$72.25	$777.60	$1,133.93
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 $709.32 / $976.12 / $1,692.11	Professional		$709.32	$976.12	$1,692.11