Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.17 / $6,064.00 / $11,561.00	Facility		$1,072.17	$6,064.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $736.34 / $1,308.48	Professional		$678.17	$736.34	$1,308.48
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 $628.04 / $839.57 / $1,365.98	Professional		$628.04	$839.57	$1,365.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.89 / $826.67 / $1,023.18	Facility		$688.89	$826.67	$1,023.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.23 / $757.78 / $895.56	Professional		$627.23	$757.78	$895.56
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 $606.39 / $954.30 / $1,442.21	Professional		$606.39	$954.30	$1,442.21
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 $623.36 / $964.45 / $1,429.28	Professional		$623.36	$964.45	$1,429.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $675.26 / $1,010.27	Professional		$72.25	$675.26	$1,010.27
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 $620.66 / $861.35 / $1,461.76	Professional		$620.66	$861.35	$1,461.76