Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.24 / $5,201.00 / $11,627.00	Facility		$1,246.24	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $964.39 / $1,741.50	Professional		$822.16	$964.39	$1,741.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.46 / $1,106.75 / $1,825.22	Professional		$777.46	$1,106.75	$1,825.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $952.37 / $1,386.78	Facility		$873.00	$952.37	$1,386.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.55 / $1,027.06 / $1,307.17	Professional		$805.55	$1,027.06	$1,307.17
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 $974.27 / $1,284.60 / $1,805.71	Professional		$974.27	$1,284.60	$1,805.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,120.04 / $1,120.04 / $1,120.04	Facility		$1,120.04	$1,120.04	$1,120.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $980.37 / $1,307.16 / $1,885.58	Professional		$980.37	$1,307.16	$1,885.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $695.55 / $1,202.03	Professional		$72.37	$695.55	$1,202.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.43 / $1,166.93 / $1,932.48	Professional		$774.43	$1,166.93	$1,932.48