Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $6,064.00 / $10,635.00	Facility		$1,449.04	$6,064.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $443.77 / $1,185.99	Professional		$381.24	$443.77	$1,185.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $498.91 / $827.01	Professional		$368.76	$498.91	$827.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $437.30 / $636.78	Facility		$400.86	$437.30	$636.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $471.60 / $600.22	Professional		$410.24	$471.60	$600.22
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 $450.17 / $614.95 / $901.06	Professional		$450.17	$614.95	$901.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $511.90 / $511.90 / $511.90	Facility		$511.90	$511.90	$511.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $630.24 / $910.10	Professional		$450.17	$630.24	$910.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $355.66 / $563.83	Professional		$67.21	$355.66	$563.83
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 $359.04 / $557.33 / $901.44	Professional		$359.04	$557.33	$901.44