Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.76 / $5,135.00 / $10,817.74	Facility		$1,108.76	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.61 / $829.48 / $1,666.73	Professional		$750.61	$829.48	$1,666.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.23 / $988.98 / $1,610.63	Professional		$680.23	$988.98	$1,610.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $967.16 / $1,284.51	Facility		$753.58	$967.16	$1,284.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $886.57 / $1,128.35 / $127,498.73	Professional		$886.57	$1,128.35	$127,498.73
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 $846.27 / $1,141.72 / $1,639.51	Professional		$846.27	$1,141.72	$1,639.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,168.65 / $1,639.51	Professional		$846.27	$1,168.65	$1,639.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $592.84 / $1,006.59	Professional		$72.37	$592.84	$1,006.59
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 $700.56 / $1,075.42 / $1,790.55	Professional		$700.56	$1,075.42	$1,790.55