Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.83 / $5,135.00 / $10,817.74	Facility		$1,275.83	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.74 / $978.58 / $1,946.38	Professional		$830.74	$978.58	$1,946.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.10 / $1,123.10 / $1,868.23	Professional		$841.10	$1,123.10	$1,868.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.79 / $947.77 / $1,380.10	Facility		$868.79	$947.77	$1,380.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.05 / $1,022.11 / $1,300.86	Professional		$851.05	$1,022.11	$1,300.86
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 $975.09 / $1,300.85 / $1,910.83	Professional		$975.09	$1,300.85	$1,910.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,131.88 / $1,131.88 / $1,131.88	Facility		$1,131.88	$1,131.88	$1,131.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $975.09 / $1,324.71 / $1,974.68	Professional		$975.09	$1,324.71	$1,974.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $667.36 / $1,191.32	Professional		$107.36	$667.36	$1,191.32
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 $764.65 / $1,184.57 / $1,885.82	Professional		$764.65	$1,184.57	$1,885.82