Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.87 / $6,193.00 / $11,561.00	Facility		$1,410.87	$6,193.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $972.76 / $1,763.92	Professional		$897.27	$972.76	$1,763.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,554.00 / $19,117.00	Facility		$1,069.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.23 / $1,104.14 / $1,812.95	Professional		$820.23	$1,104.14	$1,812.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.13 / $1,098.16 / $1,359.21	Facility		$915.13	$1,098.16	$1,359.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.42 / $1,006.64 / $1,189.67	Professional		$822.42	$1,006.64	$1,189.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,048.28 / $5,935.99	Facility		$600.00	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.48 / $1,228.77 / $1,903.48	Professional		$809.48	$1,228.77	$1,903.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,048.28 / $4,422.06	Facility		$600.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $825.12 / $1,255.74 / $1,882.48	Professional		$825.12	$1,255.74	$1,882.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $912.37 / $1,360.52	Professional		$106.60	$912.37	$1,360.52
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 $819.18 / $1,147.40 / $1,969.61	Professional		$819.18	$1,147.40	$1,969.61