Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.06 / $5,135.00 / $10,817.74	Facility		$1,156.06	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $875.40 / $1,676.21	Professional		$764.00	$875.40	$1,676.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,191.00 / $4,072.00	Facility		$1,051.00	$2,191.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.70 / $811.62 / $1,414.54	Professional		$574.70	$811.62	$1,414.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.51 / $943.10 / $1,373.28	Facility		$864.51	$943.10	$1,373.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $608.83 / $1,017.07 / $1,294.45	Professional		$608.83	$1,017.07	$1,294.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.14 / $1,208.26 / $1,760.43	Professional		$852.14	$1,208.26	$1,760.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $909.06 / $1,229.53 / $1,760.43	Professional		$909.06	$1,229.53	$1,760.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $748.18 / $1,208.60	Professional		$104.75	$748.18	$1,208.60
United Facility/Professional Facility Modifier Low / Median / High Price $668.10 / $1,452.00 / $3,756.00	Facility		$668.10	$1,452.00	$3,756.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,111.14 / $1,979.96	Professional		$699.20	$1,111.14	$1,979.96