Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.80 / $5,201.00 / $11,627.00	Facility		$1,199.80	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $806.86 / $2,433.17	Professional		$667.32	$806.86	$2,433.17
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 $561.73 / $750.40 / $1,352.85	Professional		$561.73	$750.40	$1,352.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.52 / $1,184.93 / $1,994.14	Facility		$966.52	$1,184.93	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $583.84 / $929.35 / $1,449.78	Professional		$583.84	$929.35	$1,449.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.84 / $1,469.12 / $21,571.00	Facility		$904.84	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.67 / $1,011.75 / $1,589.03	Professional		$670.67	$1,011.75	$1,589.03
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 $652.22 / $1,011.75 / $1,436.16	Professional		$652.22	$1,011.75	$1,436.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $578.32 / $986.68	Professional		$76.18	$578.32	$986.68
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 $653.49 / $823.54 / $1,742.58	Professional		$653.49	$823.54	$1,742.58