Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.43 / $5,616.00 / $10,817.74	Facility		$1,442.43	$5,616.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.81 / $1,010.94 / $2,066.73	Professional		$932.81	$1,010.94	$2,066.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,974.00 / $19,117.00	Facility		$2,003.00	$3,974.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.02 / $1,186.56 / $1,916.46	Professional		$897.02	$1,186.56	$1,916.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $887.55 / $968.23 / $1,409.88	Facility		$887.55	$968.23	$1,409.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.18 / $1,044.18 / $1,328.95	Professional		$1,044.18	$1,044.18	$1,328.95
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 $993.32 / $1,392.74 / $2,162.01	Professional		$993.32	$1,392.74	$2,162.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $1,137.85	Facility		$1,137.85	$1,137.85	$1,137.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $996.71 / $1,458.71 / $2,119.50	Professional		$996.71	$1,458.71	$2,119.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $695.33 / $1,192.38	Professional		$108.15	$695.33	$1,192.38
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 $918.95 / $1,362.94 / $2,251.67	Professional		$918.95	$1,362.94	$2,251.67