Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.10 / $5,135.00 / $10,817.74	Facility		$1,564.10	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,051.84 / $3,127.02	Professional		$863.39	$1,051.84	$3,127.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $939.90 / $1,714.72	Professional		$711.98	$939.90	$1,714.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.48 / $1,542.84 / $1,994.14	Facility		$1,258.48	$1,542.84	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.54 / $1,210.08 / $1,887.72	Professional		$763.54	$1,210.08	$1,887.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.98 / $1,469.12 / $21,571.00	Facility		$1,179.98	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.36 / $1,267.34 / $2,065.36	Professional		$876.36	$1,267.34	$2,065.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $842.13 / $1,305.26 / $1,874.44	Professional		$842.13	$1,305.26	$1,874.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $750.14 / $1,274.73	Professional		$112.96	$750.14	$1,274.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $9,245.00	Facility		$2,840.00	$5,625.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.19 / $1,066.09 / $2,070.10	Professional		$822.19	$1,066.09	$2,070.10