Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.95 / $5,135.00 / $10,817.74	Facility		$1,288.95	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.94 / $984.62 / $1,947.93	Professional		$849.94	$984.62	$1,947.93
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 $712.61 / $954.60 / $1,566.66	Professional		$712.61	$954.60	$1,566.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $886.15 / $1,137.30 / $1,510.47	Facility		$886.15	$1,137.30	$1,510.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,042.53 / $1,326.85 / $127,498.73	Professional		$1,042.53	$1,326.85	$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 $954.24 / $1,321.47 / $1,921.82	Professional		$954.24	$1,321.47	$1,921.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,145.08 / $1,145.08 / $1,145.08	Facility		$1,145.08	$1,145.08	$1,145.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $995.13 / $1,326.84 / $1,921.82	Professional		$995.13	$1,326.84	$1,921.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $696.22 / $1,178.07	Professional		$108.15	$696.22	$1,178.07
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 $793.88 / $1,244.58 / $2,057.81	Professional		$793.88	$1,244.58	$2,057.81