Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.58 / $5,201.00 / $11,627.00	Facility		$1,290.58	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.39 / $867.91 / $2,786.65	Professional		$755.39	$867.91	$2,786.65
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 $624.21 / $847.50 / $1,503.34	Professional		$624.21	$847.50	$1,503.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.58 / $1,274.49 / $2,631.55	Facility		$1,039.58	$1,274.49	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $654.47 / $999.60 / $1,559.37	Professional		$654.47	$999.60	$1,559.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.81 / $1,938.72 / $21,571.00	Facility		$973.81	$1,938.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.27 / $1,070.20 / $1,727.37	Professional		$725.27	$1,070.20	$1,727.37
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 $726.78 / $1,071.78 / $1,605.44	Professional		$726.78	$1,071.78	$1,605.44
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 $714.01 / $909.76 / $1,864.84	Professional		$714.01	$909.76	$1,864.84