Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.04 / $4,723.00 / $10,817.74	Facility		$1,557.04	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.66 / $1,047.09 / $3,112.26	Professional		$854.66	$1,047.09	$3,112.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.02 / $977.16 / $1,724.42	Professional		$716.02	$977.16	$1,724.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.76 / $1,535.84 / $1,994.14	Facility		$1,252.76	$1,535.84	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.23 / $1,204.58 / $1,879.14	Professional		$790.23	$1,204.58	$1,879.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.76 / $1,469.12 / $21,571.00	Facility		$1,174.76	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.53 / $1,315.13 / $2,055.62	Professional		$872.53	$1,315.13	$2,055.62
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 $838.27 / $1,315.13 / $1,865.82	Professional		$838.27	$1,315.13	$1,865.82
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 $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.09 / $1,053.38 / $2,150.90	Professional		$851.09	$1,053.38	$2,150.90