Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.00 / $6,530.00 / $14,338.28	Facility		$999.00	$6,530.00	$14,338.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $2,970.02 / $14,975.12	Professional		$568.47	$2,970.02	$14,975.12
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 $545.66 / $6,593.03 / $12,982.74	Professional		$545.66	$6,593.03	$12,982.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $532.40 / $532.40 / $775.24	Facility		$532.40	$532.40	$775.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,900.15 / $7,900.15 / $10,326.70	Professional		$7,900.15	$7,900.15	$10,326.70
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 $550.34 / $1,187.39 / $13,580.25	Professional		$550.34	$1,187.39	$13,580.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,388.06 / $6,388.06 / $9,107.70	Facility		$6,388.06	$6,388.06	$9,107.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $626.35 / $1,320.62 / $13,580.25	Professional		$626.35	$1,320.62	$13,580.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,703.63 / $8,861.33 / $12,318.97	Professional		$6,703.63	$8,861.33	$12,318.97
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 $8,781.19 / $12,016.37 / $18,758.43	Professional		$8,781.19	$12,016.37	$18,758.43