Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.63 / $4,723.00 / $10,817.74	Facility		$1,146.63	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.95 / $894.43 / $1,763.85	Professional		$764.95	$894.43	$1,763.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.98 / $1,174.40 / $1,901.02	Professional		$865.98	$1,174.40	$1,901.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $807.66 / $1,036.57 / $1,376.70	Facility		$807.66	$1,036.57	$1,376.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $950.19 / $1,209.33 / $127,498.73	Professional		$950.19	$1,209.33	$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 $899.15 / $1,266.65 / $1,818.92	Professional		$899.15	$1,266.65	$1,818.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,031.52 / $1,031.52 / $1,031.52	Facility		$1,031.52	$1,031.52	$1,031.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $907.00 / $1,277.11 / $1,839.05	Professional		$907.00	$1,277.11	$1,839.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $653.07 / $1,097.26	Professional		$72.37	$653.07	$1,097.26
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 $754.99 / $1,160.75 / $1,807.15	Professional		$754.99	$1,160.75	$1,807.15