Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.33 / $5,135.00 / $10,817.74	Facility		$1,187.33	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.69 / $907.66 / $1,804.09	Professional		$771.69	$907.66	$1,804.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.31 / $1,062.40 / $1,752.08	Professional		$746.31	$1,062.40	$1,752.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.90 / $879.17 / $1,280.19	Facility		$805.90	$879.17	$1,280.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.27 / $948.12 / $1,206.70	Professional		$773.27	$948.12	$1,206.70
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 $901.85 / $1,206.70 / $1,740.41	Professional		$901.85	$1,206.70	$1,740.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $901.85 / $1,231.04 / $1,819.39	Professional		$901.85	$1,231.04	$1,819.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $631.25 / $1,085.75	Professional		$107.36	$631.25	$1,085.75
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 $728.88 / $1,101.09 / $1,782.06	Professional		$728.88	$1,101.09	$1,782.06