Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.59 / $5,201.00 / $11,627.00	Facility		$1,014.59	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.88 / $682.31 / $1,392.11	Professional		$596.88	$682.31	$1,392.11
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 $547.16 / $737.76 / $1,193.69	Professional		$547.16	$737.76	$1,193.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $625.91 / $682.82 / $994.28	Facility		$625.91	$682.82	$994.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.15 / $736.37 / $937.20	Professional		$617.15	$736.37	$937.20
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 $687.18 / $937.20 / $1,315.80	Professional		$687.18	$937.20	$1,315.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $702.90 / $962.59 / $1,300.67	Professional		$702.90	$962.59	$1,300.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $492.17 / $852.61	Professional		$72.32	$492.17	$852.61
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 $564.26 / $864.17 / $1,423.00	Professional		$564.26	$864.17	$1,423.00