Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.18 / $5,135.00 / $10,817.74	Facility		$1,343.18	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.10 / $1,040.27 / $2,072.35	Professional		$889.10	$1,040.27	$2,072.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,405.00 / $14,996.00	Facility		$1,525.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.99 / $678.36 / $1,419.36	Professional		$443.99	$678.36	$1,419.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.87 / $1,034.04 / $1,505.70	Facility		$947.87	$1,034.04	$1,505.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.56 / $1,115.14 / $1,419.26	Professional		$774.56	$1,115.14	$1,419.26
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 $862.53 / $1,367.32 / $1,979.47	Professional		$862.53	$1,367.32	$1,979.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $1,208.95 / $1,208.95	Facility		$1,208.95	$1,208.95	$1,208.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $896.48 / $1,368.57 / $1,946.22	Professional		$896.48	$1,368.57	$1,946.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $727.83 / $1,247.48	Professional		$108.15	$727.83	$1,247.48
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 $666.94 / $1,274.59 / $2,148.05	Professional		$666.94	$1,274.59	$2,148.05