Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.74 / $6,064.00 / $11,581.00	Facility		$1,136.74	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.93 / $765.28 / $1,404.10	Professional		$698.93	$765.28	$1,404.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.20 / $809.12 / $1,331.84	Professional		$608.20	$809.12	$1,331.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.24 / $878.69 / $1,087.57	Facility		$732.24	$878.69	$1,087.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.56 / $805.46 / $951.91	Professional		$752.56	$805.46	$951.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $790.00 / $21,571.00	Facility		$425.00	$790.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.88 / $1,011.77 / $1,537.28	Professional		$687.88	$1,011.77	$1,537.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $717.59 / $1,025.13 / $1,533.73	Professional		$717.59	$1,025.13	$1,533.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $608.38 / $1,006.16	Professional		$76.37	$608.38	$1,006.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.58 / $895.43 / $1,597.92	Professional		$651.58	$895.43	$1,597.92