Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.51 / $8,037.00 / $11,754.00	Facility		$1,208.51	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.48 / $822.28 / $1,635.80	Professional		$739.48	$822.28	$1,635.80
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 $622.82 / $896.84 / $1,410.90	Professional		$622.82	$896.84	$1,410.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.40 / $812.08 / $1,182.49	Facility		$744.40	$812.08	$1,182.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.39 / $875.77 / $1,114.60	Professional		$857.39	$875.77	$1,114.60
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 $835.95 / $1,141.73 / $1,659.36	Professional		$835.95	$1,141.73	$1,659.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $953.80 / $953.80	Facility		$953.80	$953.80	$953.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $835.95 / $1,154.41 / $1,659.59	Professional		$835.95	$1,154.41	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $594.93 / $979.40	Professional		$72.37	$594.93	$979.40
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 $685.83 / $1,079.48 / $1,713.86	Professional		$685.83	$1,079.48	$1,713.86