Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.15 / $6,064.00 / $11,561.00	Facility		$1,310.15	$6,064.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.44 / $915.36 / $1,598.81	Professional		$849.44	$915.36	$1,598.81
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 $786.04 / $1,044.74 / $1,700.34	Professional		$786.04	$1,044.74	$1,700.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.54 / $1,011.05 / $1,251.40	Facility		$842.54	$1,011.05	$1,251.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $783.57 / $926.79 / $1,095.30	Professional		$783.57	$926.79	$1,095.30
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 $749.73 / $1,173.29 / $1,764.02	Professional		$749.73	$1,173.29	$1,764.02
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 $780.31 / $1,189.93 / $1,747.46	Professional		$780.31	$1,189.93	$1,747.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.71 / $730.99 / $1,204.98	Professional		$75.71	$730.99	$1,204.98
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 $748.91 / $1,048.49 / $1,790.29	Professional		$748.91	$1,048.49	$1,790.29