Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.18 / $6,251.00 / $11,581.00	Facility		$1,070.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $719.69 / $2,309.61	Professional		$628.04	$719.69	$2,309.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.69 / $693.20 / $1,280.50	Professional		$531.69	$693.20	$1,280.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.85 / $1,061.51 / $1,994.14	Facility		$865.85	$1,061.51	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.39 / $832.55 / $1,298.78	Professional		$590.39	$832.55	$1,298.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $1,469.12 / $21,571.00	Facility		$803.94	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.67 / $921.55 / $1,434.26	Professional		$600.67	$921.55	$1,434.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $604.26 / $918.21 / $1,343.89	Professional		$604.26	$918.21	$1,343.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $543.61 / $906.73	Professional		$76.37	$543.61	$906.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.51 / $802.65 / $1,667.42	Professional		$613.51	$802.65	$1,667.42