Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,401.00 / $10,268.00	Facility		$1,406.00	$3,401.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.45 / $1,013.34 / $1,816.28	Professional		$943.45	$1,013.34	$1,816.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.50 / $1,028.83 / $1,701.74	Professional		$768.50	$1,028.83	$1,701.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.81 / $1,155.36 / $1,430.02	Facility		$962.81	$1,155.36	$1,430.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $783.86 / $1,059.08 / $1,251.65	Professional		$783.86	$1,059.08	$1,251.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,158.61 / $21,571.00	Facility		$425.00	$1,158.61	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.97 / $1,328.43 / $2,021.90	Professional		$869.97	$1,328.43	$2,021.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $869.97 / $1,347.93 / $1,983.98	Professional		$869.97	$1,347.93	$1,983.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $949.44 / $1,399.31	Professional		$108.28	$949.44	$1,399.31
United Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,072.00 / $6,510.21	Facility		$832.00	$4,072.00	$6,510.21
United Facility/Professional Professional Modifier Low / Median / High Price $840.17 / $1,190.20 / $2,152.40	Professional		$840.17	$1,190.20	$2,152.40