Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.70 / $6,064.00 / $11,581.00	Facility		$1,570.70	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,079.21 / $1,952.69	Professional		$992.36	$1,079.21	$1,952.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.46 / $1,157.58 / $1,931.87	Professional		$890.46	$1,157.58	$1,931.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.33 / $1,216.00 / $1,505.06	Facility		$1,013.33	$1,216.00	$1,505.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,022.71 / $1,114.66 / $1,317.33	Professional		$1,022.71	$1,114.66	$1,317.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,048.28 / $5,935.99	Facility		$790.00	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.82 / $1,404.18 / $2,139.59	Professional		$939.82	$1,404.18	$2,139.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,048.28 / $4,422.06	Facility		$790.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $993.07 / $1,418.67 / $2,122.82	Professional		$993.07	$1,418.67	$2,122.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $877.87 / $1,425.42	Professional		$76.37	$877.87	$1,425.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.50 / $1,299.49 / $2,243.40	Professional		$933.50	$1,299.49	$2,243.40