Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.64 / $4,723.00 / $10,817.74	Facility		$1,604.64	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.04 / $1,079.10 / $3,407.53	Professional		$920.04	$1,079.10	$3,407.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.20 / $1,064.75 / $1,879.00	Professional		$780.20	$1,064.75	$1,879.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,291.72 / $1,583.60 / $1,937.58	Facility		$1,291.72	$1,583.60	$1,937.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $941.32 / $1,242.04 / $1,937.58	Professional		$941.32	$1,242.04	$1,937.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,206.07 / $21,571.00	Facility		$1,124.08	$1,206.07	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.61 / $1,334.08 / $2,154.54	Professional		$898.61	$1,334.08	$2,154.54
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 $898.61 / $1,338.62 / $1,953.13	Professional		$898.61	$1,338.62	$1,953.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $769.90 / $1,291.70	Professional		$112.96	$769.90	$1,291.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.10 / $1,128.10 / $2,309.96	Professional		$895.10	$1,128.10	$2,309.96