Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.26 / $5,135.00 / $10,817.74	Facility		$1,174.26	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.45 / $883.94 / $1,781.91	Professional		$764.45	$883.94	$1,781.91
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 $702.35 / $1,006.90 / $1,646.28	Professional		$702.35	$1,006.90	$1,646.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $800.29 / $873.05 / $1,271.28	Facility		$800.29	$873.05	$1,271.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.89 / $941.52 / $1,198.30	Professional		$790.89	$941.52	$1,198.30
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 $885.57 / $1,198.30 / $1,683.23	Professional		$885.57	$1,198.30	$1,683.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $890.10 / $1,198.30 / $1,732.87	Professional		$890.10	$1,198.30	$1,732.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $633.87 / $1,094.45	Professional		$107.36	$633.87	$1,094.45
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 $698.87 / $1,068.11 / $1,773.08	Professional		$698.87	$1,068.11	$1,773.08