Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.86 / $7,155.00 / $11,581.00	Facility		$1,219.86	$7,155.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.28 / $697.22 / $2,235.58	Professional		$668.28	$697.22	$2,235.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.67 / $715.93 / $1,146.28	Professional		$562.67	$715.93	$1,146.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.32 / $629.32 / $916.37	Facility		$629.32	$629.32	$916.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.68 / $678.68 / $728.23	Professional		$678.68	$678.68	$728.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.68 / $898.47 / $1,289.83	Professional		$678.68	$898.47	$1,289.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $19,503.00 / $21,036.00	Facility		$9,046.00	$19,503.00	$21,036.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $678.68 / $898.47 / $1,289.83	Professional		$678.68	$898.47	$1,289.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $566.86 / $746.74 / $985.83	Professional		$566.86	$746.74	$985.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $11,766.00 / $20,348.00	Facility		$4,524.00	$11,766.00	$20,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.36 / $855.68 / $1,300.64	Professional		$661.36	$855.68	$1,300.64