Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.28 / $8,037.00 / $11,754.00	Facility		$1,062.28	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.02 / $723.67 / $1,430.39	Professional		$619.02	$723.67	$1,430.39
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 $579.01 / $782.37 / $1,232.95	Professional		$579.01	$782.37	$1,232.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.40 / $714.98 / $1,041.09	Facility		$655.40	$714.98	$1,041.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $688.11 / $771.06 / $981.34	Professional		$688.11	$771.06	$981.34
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 $730.91 / $981.34 / $1,395.52	Professional		$730.91	$981.34	$1,395.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $736.01 / $981.71 / $1,395.52	Professional		$736.01	$981.71	$1,395.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $495.24 / $853.94	Professional		$72.37	$495.24	$853.94
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 $590.44 / $898.27 / $1,479.15	Professional		$590.44	$898.27	$1,479.15