Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.23 / $5,355.00 / $11,581.00	Facility		$1,274.23	$5,355.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $856.91 / $1,535.77	Professional		$765.47	$856.91	$1,535.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $3,869.00 / $14,996.00	Facility		$1,629.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.57 / $863.96 / $1,408.27	Professional		$614.57	$863.96	$1,408.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.58 / $868.99 / $1,265.36	Facility		$796.58	$868.99	$1,265.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.59 / $937.15 / $1,192.73	Professional		$731.59	$937.15	$1,192.73
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 $851.21 / $1,160.58 / $1,618.70	Professional		$851.21	$1,160.58	$1,618.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Facility		$1,017.00	$1,017.00	$1,017.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $879.83 / $1,192.73 / $1,618.70	Professional		$879.83	$1,192.73	$1,618.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $652.67 / $1,101.91	Professional		$72.37	$652.67	$1,101.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.27 / $1,078.68 / $1,701.59	Professional		$686.27	$1,078.68	$1,701.59