Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.96 / $5,135.00 / $10,817.74	Facility		$1,512.96	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.63 / $1,037.21 / $2,043.03	Professional		$891.63	$1,037.21	$2,043.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.84 / $1,160.64 / $1,877.07	Professional		$880.84	$1,160.64	$1,877.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $937.34 / $1,022.56 / $1,488.99	Facility		$937.34	$1,022.56	$1,488.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.99 / $1,102.76 / $1,403.51	Professional		$867.99	$1,102.76	$1,403.51
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 $1,038.60 / $1,454.00 / $2,132.03	Professional		$1,038.60	$1,454.00	$2,132.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,197.05 / $1,197.05	Facility		$1,197.05	$1,197.05	$1,197.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,052.63 / $1,479.48 / $2,076.61	Professional		$1,052.63	$1,479.48	$2,076.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $727.78 / $1,247.48	Professional		$72.37	$727.78	$1,247.48
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 $822.57 / $1,316.11 / $2,054.89	Professional		$822.57	$1,316.11	$2,054.89