Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.14 / $5,135.00 / $10,817.74	Facility		$1,004.14	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.07 / $675.28 / $1,306.58	Professional		$603.07	$675.28	$1,306.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.89 / $692.23 / $1,237.63	Professional		$513.89	$692.23	$1,237.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $814.40 / $998.42 / $1,289.18	Facility		$814.40	$998.42	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.03 / $783.08 / $1,221.59	Professional		$556.03	$783.08	$1,221.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.36 / $949.77 / $21,571.00	Facility		$754.36	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.87 / $865.55 / $1,375.66	Professional		$562.87	$865.55	$1,375.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $877.04 / $1,269.67	Professional		$571.52	$877.04	$1,269.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $496.22 / $823.84	Professional		$76.18	$496.22	$823.84
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 $580.52 / $734.39 / $1,466.44	Professional		$580.52	$734.39	$1,466.44