Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.59 / $2,849.00 / $10,268.00	Facility		$869.59	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $820.50 / $1,497.42	Professional		$701.47	$820.50	$1,497.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,264.00 / $14,996.00	Facility		$1,525.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.89 / $793.41 / $1,259.56	Professional		$573.89	$793.41	$1,259.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $698.20 / $761.68 / $1,109.09	Facility		$698.20	$761.68	$1,109.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $642.61 / $942.65 / $1,199.73	Professional		$642.61	$942.65	$1,199.73
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 $784.08 / $1,098.11 / $1,584.97	Professional		$784.08	$1,098.11	$1,584.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $1,333.12 / $1,333.12	Facility		$1,333.12	$1,333.12	$1,333.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,115.14 / $1,584.97	Professional		$787.82	$1,115.14	$1,584.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $630.65 / $1,065.09	Professional		$107.98	$630.65	$1,065.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.70 / $1,056.09 / $1,749.95	Professional		$694.70	$1,056.09	$1,749.95