Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.39 / $2,936.00 / $9,534.00	Facility		$757.39	$2,936.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $766.93 / $1,388.36	Professional		$637.29	$766.93	$1,388.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.24 / $958.00 / $1,569.74	Professional		$663.24	$958.00	$1,569.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.71 / $643.32 / $936.75	Facility		$589.71	$643.32	$936.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.40 / $823.43 / $1,048.00	Professional		$769.40	$823.43	$1,048.00
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 $693.88 / $1,013.97 / $1,484.60	Professional		$693.88	$1,013.97	$1,484.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,134.27 / $1,134.27 / $1,134.27	Facility		$1,134.27	$1,134.27	$1,134.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $1,020.42 / $1,484.60	Professional		$693.88	$1,020.42	$1,484.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $554.96 / $940.03	Professional		$72.37	$554.96	$940.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.08 / $1,064.83 / $1,672.82	Professional		$693.08	$1,064.83	$1,672.82