Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.76 / $5,597.00 / $11,581.00	Facility		$1,251.76	$5,597.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.04 / $963.53 / $2,669.01	Professional		$838.04	$963.53	$2,669.01
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 $740.35 / $1,014.24 / $1,644.44	Professional		$740.35	$1,014.24	$1,644.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $858.21 / $936.23 / $1,363.28	Facility		$858.21	$936.23	$1,363.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $873.95 / $1,009.66 / $1,285.02	Professional		$873.95	$1,009.66	$1,285.02
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 $954.45 / $1,285.02 / $1,798.21	Professional		$954.45	$1,285.02	$1,798.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,111.38 / $1,111.38 / $1,111.38	Facility		$1,111.38	$1,111.38	$1,111.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $954.45 / $1,285.02 / $1,798.21	Professional		$954.45	$1,285.02	$1,798.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $692.61 / $1,154.62	Professional		$107.36	$692.61	$1,154.62
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 $752.62 / $1,115.28 / $1,885.99	Professional		$752.62	$1,115.28	$1,885.99