Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.42 / $5,135.00 / $10,817.74	Facility		$1,445.42	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.11 / $976.81 / $3,075.28	Professional		$831.11	$976.81	$3,075.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,443.00 / $8,800.00	Facility		$1,145.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.05 / $958.10 / $1,690.76	Professional		$702.05	$958.10	$1,690.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,164.03 / $1,427.06 / $1,746.05	Facility		$1,164.03	$1,427.06	$1,746.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.29 / $1,119.26 / $1,746.05	Professional		$797.29	$1,119.26	$1,746.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.52 / $1,124.08 / $21,571.00	Facility		$1,087.52	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.93 / $1,207.47 / $1,937.38	Professional		$808.93	$1,207.47	$1,937.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $808.93 / $1,207.47 / $1,770.82	Professional		$808.93	$1,207.47	$1,770.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $705.04 / $1,192.69	Professional		$112.96	$705.04	$1,192.69
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.35 / $1,029.72 / $2,222.27	Professional		$824.35	$1,029.72	$2,222.27