Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.45 / $5,135.00 / $10,817.74	Facility		$1,297.45	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.47 / $872.53 / $2,039.68	Professional		$736.47	$872.53	$2,039.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,890.11 / $4,089.29 / $7,408.79	Facility		$1,890.11	$4,089.29	$7,408.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.49 / $743.01 / $1,229.08	Professional		$549.49	$743.01	$1,229.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $798.67 / $871.27 / $1,268.70	Facility		$798.67	$871.27	$1,268.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.05 / $939.61 / $1,195.86	Professional		$645.05	$939.61	$1,195.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.20 / $1,141.31 / $1,640.35	Professional		$806.20	$1,141.31	$1,640.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,021.10 / $1,021.10 / $1,021.10	Facility		$1,021.10	$1,021.10	$1,021.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $857.06 / $1,166.60 / $1,640.35	Professional		$857.06	$1,166.60	$1,640.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $619.43 / $1,057.30	Professional		$72.37	$619.43	$1,057.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.49 / $1,056.07 / $1,759.71	Professional		$677.49	$1,056.07	$1,759.71