Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.13 / $5,135.00 / $10,817.74	Facility		$1,393.13	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.40 / $1,074.63 / $2,159.12	Professional		$835.40	$1,074.63	$2,159.12
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 $329.11 / $506.83 / $1,395.01	Professional		$329.11	$506.83	$1,395.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.66 / $1,073.08 / $1,562.57	Facility		$983.66	$1,073.08	$1,562.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $804.49 / $1,157.26 / $1,472.87	Professional		$804.49	$1,157.26	$1,472.87
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 $880.99 / $1,332.15 / $2,018.01	Professional		$880.99	$1,332.15	$2,018.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,254.85 / $1,254.85 / $1,254.85	Facility		$1,254.85	$1,254.85	$1,254.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $957.26 / $1,346.62 / $2,018.01	Professional		$957.26	$1,346.62	$2,018.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $765.92 / $1,304.27	Professional		$108.15	$765.92	$1,304.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.16 / $1,262.46 / $2,140.23	Professional		$707.16	$1,262.46	$2,140.23