Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.15 / $8,037.00 / $11,754.00	Facility		$1,063.15	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.83 / $714.96 / $1,472.92	Professional		$655.83	$714.96	$1,472.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.36 / $746.47 / $1,205.30	Professional		$558.36	$746.47	$1,205.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.44 / $710.66 / $1,034.82	Facility		$651.44	$710.66	$1,034.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $766.40 / $975.42	Professional		$581.95	$766.40	$975.42
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 $696.73 / $956.47 / $1,344.12	Professional		$696.73	$956.47	$1,344.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $839.94 / $839.94	Facility		$839.94	$839.94	$839.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $963.81 / $1,350.52	Professional		$726.53	$963.81	$1,350.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $505.22 / $889.93	Professional		$72.37	$505.22	$889.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.89 / $904.44 / $1,552.55	Professional		$600.89	$904.44	$1,552.55