Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.36 / $3,325.00 / $10,635.00	Facility		$1,073.36	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.22 / $994.71 / $2,707.03	Professional		$877.22	$994.71	$2,707.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.52 / $1,135.15 / $1,833.40	Professional		$865.52	$1,135.15	$1,833.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $889.46 / $970.32 / $1,412.91	Facility		$889.46	$970.32	$1,412.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $854.48 / $1,046.42 / $1,331.81	Professional		$854.48	$1,046.42	$1,331.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.71 / $1,385.07 / $2,042.14	Professional		$987.71	$1,385.07	$2,042.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $998.85 / $1,437.79 / $1,985.90	Professional		$998.85	$1,437.79	$1,985.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $699.52 / $1,181.65	Professional		$108.15	$699.52	$1,181.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $839.88 / $1,300.18 / $2,123.83	Professional		$839.88	$1,300.18	$2,123.83