Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.38 / $6,530.00 / $12,096.23	Facility		$1,181.38	$6,530.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.23 / $1,481.45 / $8,103.95	Professional		$465.23	$1,481.45	$8,103.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.96 / $3,177.72 / $6,373.04	Professional		$409.96	$3,177.72	$6,373.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.88 / $405.88 / $591.01	Facility		$405.88	$405.88	$591.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,239.93 / $4,239.93 / $4,870.14	Professional		$4,239.93	$4,239.93	$4,870.14
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 $430.07 / $924.62 / $7,201.21	Professional		$430.07	$924.62	$7,201.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7,211.21 / $7,211.21 / $12,705.10	Facility		$7,211.21	$7,211.21	$12,705.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $477.50 / $991.95 / $7,201.21	Professional		$477.50	$991.95	$7,201.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,609.70 / $4,784.20 / $6,601.92	Professional		$3,609.70	$4,784.20	$6,601.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,429.54 / $5,915.67 / $9,460.56	Professional		$4,429.54	$5,915.67	$9,460.56