Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.11 / $5,201.00 / $11,627.00	Facility		$1,086.11	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $736.71 / $1,435.21	Professional		$635.89	$736.71	$1,435.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $833.43 / $1,344.96	Professional		$616.02	$833.43	$1,344.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.38 / $726.96 / $1,058.55	Facility		$666.38	$726.96	$1,058.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $767.85 / $783.98 / $997.79	Professional		$767.85	$783.98	$997.79
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 $746.25 / $1,035.58 / $1,507.05	Professional		$746.25	$1,035.58	$1,507.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $855.48	Facility		$855.48	$855.48	$855.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $747.20 / $1,052.99 / $1,476.16	Professional		$747.20	$1,052.99	$1,476.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $528.41 / $897.60	Professional		$72.37	$528.41	$897.60
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 $592.89 / $927.28 / $1,488.42	Professional		$592.89	$927.28	$1,488.42