Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.59 / $5,135.00 / $10,817.74	Facility		$1,421.59	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.23 / $956.01 / $1,952.43	Professional		$887.23	$956.01	$1,952.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.45 / $992.79 / $1,580.46	Professional		$753.45	$992.79	$1,580.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.91 / $1,120.31 / $1,487.91	Facility		$872.91	$1,120.31	$1,487.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.95 / $1,307.03 / $127,498.73	Professional		$1,026.95	$1,307.03	$127,498.73
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 $980.26 / $1,353.70 / $1,978.62	Professional		$980.26	$1,353.70	$1,978.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $980.26 / $1,378.15 / $1,978.62	Professional		$980.26	$1,378.15	$1,978.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.31 / $1,044.87 / $1,448.61	Professional		$806.31	$1,044.87	$1,448.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.11 / $1,285.49 / $2,040.01	Professional		$817.11	$1,285.49	$2,040.01