Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.04 / $3,325.00 / $10,635.00	Facility		$1,268.04	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $852.75 / $2,396.00	Professional		$653.12	$852.75	$2,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,683.00 / $14,996.00	Facility		$1,760.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $691.46 / $1,312.99	Professional		$534.53	$691.46	$1,312.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.04 / $1,240.73 / $1,994.14	Facility		$1,012.04	$1,240.73	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.87 / $973.11 / $1,518.06	Professional		$628.87	$973.11	$1,518.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.74 / $1,469.12 / $21,571.00	Facility		$963.74	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.89 / $995.59 / $1,668.86	Professional		$682.89	$995.59	$1,668.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $661.72 / $1,012.04 / $1,456.38	Professional		$661.72	$1,012.04	$1,456.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $601.12 / $1,053.53	Professional		$112.50	$601.12	$1,053.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,513.00 / $7,853.00	Facility		$2,155.00	$5,513.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.70 / $824.51 / $1,696.08	Professional		$629.70	$824.51	$1,696.08