Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.71 / $5,135.00 / $10,817.74	Facility		$1,288.71	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.45 / $1,001.70 / $1,818.12	Professional		$869.45	$1,001.70	$1,818.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.50 / $1,041.20 / $1,717.12	Professional		$736.50	$1,041.20	$1,717.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $1,155.22 / $1,534.28	Facility		$900.11	$1,155.22	$1,534.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.95 / $1,347.75 / $127,498.73	Professional		$1,058.95	$1,347.75	$127,498.73
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 $995.68 / $1,347.75 / $1,921.02	Professional		$995.68	$1,347.75	$1,921.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,151.96 / $1,151.96 / $1,151.96	Facility		$1,151.96	$1,151.96	$1,151.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.81 / $1,395.89 / $1,976.68	Professional		$1,010.81	$1,395.89	$1,976.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $703.63 / $1,208.90	Professional		$108.15	$703.63	$1,208.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.24 / $1,251.13 / $2,109.58	Professional		$813.24	$1,251.13	$2,109.58