Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.52 / $5,201.00 / $11,627.00	Facility		$1,078.52	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $725.30 / $1,452.40	Professional		$626.58	$725.30	$1,452.40
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 $586.04 / $826.64 / $1,375.81	Professional		$586.04	$826.64	$1,375.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.89 / $715.51 / $1,041.88	Facility		$655.89	$715.51	$1,041.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.20 / $771.63 / $982.07	Professional		$607.20	$771.63	$982.07
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 $718.23 / $982.07 / $1,379.14	Professional		$718.23	$982.07	$1,379.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $857.48 / $857.48 / $857.48	Facility		$857.48	$857.48	$857.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $718.23 / $984.23 / $1,446.35	Professional		$718.23	$984.23	$1,446.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $521.38 / $897.44	Professional		$72.37	$521.38	$897.44
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 $564.62 / $878.94 / $1,430.71	Professional		$564.62	$878.94	$1,430.71