Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.93 / $8,037.00 / $11,754.00	Facility		$1,208.93	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.48 / $825.59 / $1,631.84	Professional		$702.48	$825.59	$1,631.84
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 $660.93 / $877.66 / $1,424.09	Professional		$660.93	$877.66	$1,424.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.79 / $811.40 / $1,181.51	Facility		$743.79	$811.40	$1,181.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $866.36 / $875.04 / $1,113.69	Professional		$866.36	$875.04	$1,113.69
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 $835.27 / $1,113.69 / $1,561.53	Professional		$835.27	$1,113.69	$1,561.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $950.80	Facility		$950.80	$950.80	$950.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $835.27 / $1,153.47 / $1,548.54	Professional		$835.27	$1,153.47	$1,548.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $570.26 / $1,000.63	Professional		$72.37	$570.26	$1,000.63
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 $664.38 / $1,025.53 / $1,696.73	Professional		$664.38	$1,025.53	$1,696.73