Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.09 / $5,201.00 / $11,627.00	Facility		$1,291.09	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.82 / $868.26 / $2,788.89	Professional		$793.82	$868.26	$2,788.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.14 / $801.35 / $1,510.38	Professional		$627.14	$801.35	$1,510.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.39 / $1,275.48 / $2,631.55	Facility		$1,040.39	$1,275.48	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.91 / $1,000.38 / $1,560.59	Professional		$658.91	$1,000.38	$1,560.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.18 / $1,938.72 / $21,571.00	Facility		$974.18	$1,938.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.57 / $1,076.67 / $1,728.08	Professional		$725.57	$1,076.67	$1,728.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $1,938.72 / $2,161.90	Facility		$1,938.72	$1,938.72	$2,161.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $727.37 / $1,076.67 / $1,606.77	Professional		$727.37	$1,076.67	$1,606.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $621.35 / $1,071.06	Professional		$76.37	$621.35	$1,071.06
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 $717.78 / $916.43 / $1,866.35	Professional		$717.78	$916.43	$1,866.35