Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.46 / $5,135.00 / $10,817.74	Facility		$1,112.46	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.71 / $842.44 / $1,681.46	Professional		$724.71	$842.44	$1,681.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $4,534.00 / $14,996.00	Facility		$1,712.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.70 / $959.03 / $1,581.61	Professional		$673.70	$959.03	$1,581.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.13 / $829.24 / $1,207.49	Facility		$760.13	$829.24	$1,207.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.06 / $894.28 / $1,138.17	Professional		$733.06	$894.28	$1,138.17
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 $838.33 / $1,138.18 / $1,609.89	Professional		$838.33	$1,138.18	$1,609.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $986.85	Facility		$986.85	$986.85	$986.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $838.33 / $1,151.93 / $1,662.73	Professional		$838.33	$1,151.93	$1,662.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $588.45 / $1,010.12	Professional		$107.36	$588.45	$1,010.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.80 / $1,020.33 / $1,656.54	Professional		$688.80	$1,020.33	$1,656.54