Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.00 / $6,492.00 / $11,581.00	Facility		$1,699.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.19 / $914.22 / $1,254.08	Professional		$740.19	$914.22	$1,254.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.74 / $1,036.03 / $1,923.59	Professional		$839.74	$1,036.03	$1,923.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $960.78 / $11,158.75 / $22,260.42	Facility		$960.78	$11,158.75	$22,260.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $873.29 / $13,099.40 / $21,404.25	Professional		$873.29	$13,099.40	$21,404.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.46 / $3,801.75 / $21,571.00	Facility		$986.46	$3,801.75	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,805.78 / $3,805.78 / $3,805.78	Professional		$3,805.78	$3,805.78	$3,805.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,801.75 / $3,801.75 / $4,239.39	Facility		$3,801.75	$3,801.75	$4,239.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,391.75 / $2,391.75 / $2,391.75	Professional		$2,391.75	$2,391.75	$2,391.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $4,223.00 / $7,427.00	Facility		$1,313.00	$4,223.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.16 / $1,148.48 / $1,937.30	Professional		$863.16	$1,148.48	$1,937.30