Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.78 / $3,401.00 / $11,581.00	Facility		$1,261.78	$3,401.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.78 / $987.71 / $2,464.00	Professional		$868.78	$987.71	$2,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.68 / $1,060.47 / $1,680.24	Professional		$780.68	$1,060.47	$1,680.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.33 / $978.90 / $1,425.42	Facility		$897.33	$978.90	$1,425.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,055.68 / $1,343.59	Professional		$907.89	$1,055.68	$1,343.59
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 $959.71 / $1,346.32 / $1,878.86	Professional		$959.71	$1,346.32	$1,878.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,140.13 / $1,140.13	Facility		$1,140.13	$1,140.13	$1,140.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,007.69 / $1,391.58 / $1,840.78	Professional		$1,007.69	$1,391.58	$1,840.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $773.19 / $1,236.78	Professional		$104.14	$773.19	$1,236.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.65 / $1,285.26 / $2,079.73	Professional		$815.65	$1,285.26	$2,079.73