Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.56 / $4,723.00 / $11,627.00	Facility		$828.56	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.32 / $879.71 / $1,688.55	Professional		$792.32	$879.71	$1,688.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $15,258.77 / $26,788.67	Facility		$4,142.00	$15,258.77	$26,788.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $978.68 / $1,576.00	Professional		$700.25	$978.68	$1,576.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.25 / $897.00 / $1,306.15	Facility		$822.25	$897.00	$1,306.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $963.64 / $967.35 / $1,231.17	Professional		$963.64	$967.35	$1,231.17
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 $879.41 / $1,231.17 / $1,718.11	Professional		$879.41	$1,231.17	$1,718.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,050.24 / $1,050.24 / $1,050.24	Facility		$1,050.24	$1,050.24	$1,050.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $923.38 / $1,262.10 / $1,713.41	Professional		$923.38	$1,262.10	$1,713.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $791.33 / $1,188.36	Professional		$102.29	$791.33	$1,188.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.94 / $1,125.43 / $1,755.66	Professional		$725.94	$1,125.43	$1,755.66