Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.66 / $5,201.00 / $11,627.00	Facility		$1,167.66	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.98 / $891.07 / $1,775.47	Professional		$779.98	$891.07	$1,775.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,565.00 / $30,285.00	Facility		$2,674.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.75 / $1,061.68 / $1,793.01	Professional		$763.75	$1,061.68	$1,793.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.59 / $864.65 / $1,259.04	Facility		$792.59	$864.65	$1,259.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.32 / $932.46 / $1,186.77	Professional		$791.32	$932.46	$1,186.77
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 $886.33 / $1,186.76 / $1,715.47	Professional		$886.33	$1,186.76	$1,715.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,035.32 / $1,035.32	Facility		$1,035.32	$1,035.32	$1,035.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $886.33 / $1,209.41 / $1,801.28	Professional		$886.33	$1,209.41	$1,801.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $620.42 / $1,073.62	Professional		$107.36	$620.42	$1,073.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.90 / $1,095.50 / $1,760.91	Professional		$719.90	$1,095.50	$1,760.91