Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.07 / $4,723.00 / $10,817.74	Facility		$1,072.07	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.43 / $980.79 / $2,974.79	Professional		$850.43	$980.79	$2,974.79
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 $680.78 / $929.06 / $1,639.59	Professional		$680.78	$929.06	$1,639.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,164.40 / $1,330.34 / $1,746.60	Facility		$1,164.40	$1,330.34	$1,746.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $756.19 / $1,119.60 / $1,746.60	Professional		$756.19	$1,119.60	$1,746.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $21,571.00	Facility		$949.77	$1,059.09	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.30 / $1,216.28 / $1,925.78	Professional		$808.30	$1,216.28	$1,925.78
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 $793.59 / $1,216.28 / $1,734.81	Professional		$793.59	$1,216.28	$1,734.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $716.39 / $1,194.71	Professional		$112.50	$716.39	$1,194.71
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 $805.73 / $1,006.85 / $2,036.27	Professional		$805.73	$1,006.85	$2,036.27