Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.82 / $5,135.00 / $10,817.74	Facility		$1,362.82	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.80 / $916.49 / $2,603.67	Professional		$706.80	$916.49	$2,603.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.47 / $786.50 / $1,420.69	Professional		$587.47	$786.50	$1,420.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.56 / $1,335.75 / $1,994.14	Facility		$1,089.56	$1,335.75	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $1,047.65 / $1,634.34	Professional		$675.24	$1,047.65	$1,634.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.95 / $1,469.12 / $21,571.00	Facility		$1,034.95	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.72 / $1,080.99 / $1,796.83	Professional		$740.72	$1,080.99	$1,796.83
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 $714.86 / $1,089.55 / $1,535.60	Professional		$714.86	$1,089.55	$1,535.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $677.86 / $1,138.21	Professional		$112.50	$677.86	$1,138.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.06 / $886.94 / $1,834.26	Professional		$707.06	$886.94	$1,834.26