Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.72 / $7,218.00 / $11,627.00	Facility		$1,716.72	$7,218.00	$11,627.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $501.88 / $746.30 / $1,797.50	Facility	52	$501.88	$746.30	$1,797.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,224.58 / $2,186.75	Professional		$952.00	$1,224.58	$2,186.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.00 / $4,470.00 / $19,117.00	Facility		$2,258.00	$4,470.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.87 / $1,043.82 / $1,820.70	Professional		$764.87	$1,043.82	$1,820.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.56 / $1,138.27 / $1,408.85	Facility		$948.56	$1,138.27	$1,408.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $893.86 / $1,043.42 / $1,043.42	Professional		$893.86	$1,043.42	$1,043.42
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 $808.19 / $1,327.99 / $2,022.28	Professional		$808.19	$1,327.99	$2,022.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,675.77 / $3,022.66 / $4,276.28	Facility		$1,675.77	$3,022.66	$4,276.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $1,337.13 / $1,994.39	Professional		$840.30	$1,337.13	$1,994.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $824.81 / $1,341.40	Professional		$112.96	$824.81	$1,341.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $11,097.00	Facility		$3,793.00	$6,579.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.92 / $1,269.58 / $2,156.09	Professional		$845.92	$1,269.58	$2,156.09