Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.92 / $5,201.00 / $11,627.00	Facility		$1,139.92	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.78 / $781.33 / $2,008.47	Professional		$700.78	$781.33	$2,008.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.29 / $846.82 / $1,350.19	Professional		$630.29	$846.82	$1,350.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $699.97 / $763.61 / $1,111.91	Facility		$699.97	$763.61	$1,111.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $807.78 / $823.49 / $1,048.08	Professional		$807.78	$823.49	$1,048.08
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 $768.49 / $1,063.04 / $1,540.23	Professional		$768.49	$1,063.04	$1,540.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $768.49 / $1,121.72 / $1,540.23	Professional		$768.49	$1,121.72	$1,540.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $541.86 / $942.83	Professional		$72.37	$541.86	$942.83
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 $633.74 / $954.49 / $1,559.27	Professional		$633.74	$954.49	$1,559.27