Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.63 / $5,616.00 / $10,817.74	Facility		$1,310.63	$5,616.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.90 / $893.95 / $1,768.21	Professional		$768.90	$893.95	$1,768.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.57 / $965.43 / $1,555.97	Professional		$731.57	$965.43	$1,555.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.20 / $881.68 / $1,283.83	Facility		$808.20	$881.68	$1,283.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $843.00 / $950.83 / $1,210.15	Professional		$843.00	$950.83	$1,210.15
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 $889.34 / $1,210.14 / $1,763.23	Professional		$889.34	$1,210.14	$1,763.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,032.63 / $1,032.63 / $1,032.63	Facility		$1,032.63	$1,032.63	$1,032.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $907.61 / $1,217.02 / $1,763.23	Professional		$907.61	$1,217.02	$1,763.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.16 / $1,089.85	Professional		$72.37	$653.16	$1,089.85
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 $736.12 / $1,113.42 / $1,794.46	Professional		$736.12	$1,113.42	$1,794.46