Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.70 / $5,135.00 / $10,817.74	Facility		$1,182.70	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.71 / $891.95 / $1,786.41	Professional		$770.71	$891.95	$1,786.41
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 $714.96 / $975.71 / $1,625.40	Professional		$714.96	$975.71	$1,625.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.98 / $882.53 / $1,285.08	Facility		$808.98	$882.53	$1,285.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $796.51 / $951.74 / $1,211.31	Professional		$796.51	$951.74	$1,211.31
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 $892.90 / $1,211.31 / $1,710.78	Professional		$892.90	$1,211.31	$1,710.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,050.59 / $1,050.59	Facility		$1,050.59	$1,050.59	$1,050.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $892.90 / $1,211.31 / $1,719.99	Professional		$892.90	$1,211.31	$1,719.99
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 $736.38 / $1,091.65 / $1,811.69	Professional		$736.38	$1,091.65	$1,811.69