Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.05 / $2,537.00 / $4,589.22	Facility		$684.05	$2,537.00	$4,589.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.05 / $832.03 / $1,496.87	Professional		$684.05	$832.03	$1,496.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.63 / $953.90 / $1,508.81	Professional		$698.63	$953.90	$1,508.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.19 / $636.19 / $1,010.58	Facility		$636.19	$636.19	$1,010.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $914.73 / $914.73 / $1,164.20	Professional		$914.73	$914.73	$1,164.20
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 $766.49 / $1,131.70 / $1,651.63	Professional		$766.49	$1,131.70	$1,651.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $1,228.44 / $1,228.44	Facility		$1,228.44	$1,228.44	$1,228.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $777.52 / $1,134.33 / $1,668.71	Professional		$777.52	$1,134.33	$1,668.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $789.36 / $1,146.53	Professional		$67.28	$789.36	$1,146.53
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 $676.31 / $1,117.41 / $1,638.05	Professional		$676.31	$1,117.41	$1,638.05