Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.93 / $5,201.00 / $11,627.00	Facility		$1,103.93	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.28 / $742.39 / $2,405.55	Professional		$649.28	$742.39	$2,405.55
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 $553.33 / $755.13 / $1,332.62	Professional		$553.33	$755.13	$1,332.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.84 / $1,094.59 / $1,525.80	Facility		$892.84	$1,094.59	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $725.07 / $858.50 / $1,339.26	Professional		$725.07	$858.50	$1,339.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.31 / $1,124.08 / $21,571.00	Facility		$829.31	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.67 / $950.54 / $1,479.14	Professional		$619.67	$950.54	$1,479.14
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 $626.84 / $952.79 / $1,394.44	Professional		$626.84	$952.79	$1,394.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $543.61 / $906.73	Professional		$76.37	$543.61	$906.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $7,351.00	Facility		$2,233.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $789.82 / $1,622.66	Professional		$637.42	$789.82	$1,622.66