Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.01 / $6,251.00 / $11,581.00	Facility		$1,459.01	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.74 / $981.18 / $3,098.61	Professional		$837.74	$981.18	$3,098.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.81 / $964.59 / $1,702.25	Professional		$706.81	$964.59	$1,702.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,173.89 / $1,439.15 / $1,760.84	Facility		$1,173.89	$1,439.15	$1,760.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.26 / $1,128.74 / $1,760.84	Professional		$799.26	$1,128.74	$1,760.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,124.08 / $21,571.00	Facility		$1,098.33	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.27 / $1,216.46 / $1,957.38	Professional		$815.27	$1,216.46	$1,957.38
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 $815.27 / $1,216.46 / $1,779.32	Professional		$815.27	$1,216.46	$1,779.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $715.96 / $1,209.24	Professional		$112.96	$715.96	$1,209.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.74 / $1,031.94 / $2,091.88	Professional		$827.74	$1,031.94	$2,091.88