Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.53 / $3,553.68 / $10,635.00	Facility		$1,268.53	$3,553.68	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.68 / $1,025.23 / $1,769.19	Professional		$900.68	$1,025.23	$1,769.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.34 / $1,100.44 / $1,810.72	Professional		$850.34	$1,100.44	$1,810.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.18 / $942.74 / $1,372.76	Facility		$864.18	$942.74	$1,372.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.24 / $1,016.69 / $1,293.96	Professional		$913.24	$1,016.69	$1,293.96
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 $946.89 / $1,340.17 / $2,041.00	Professional		$946.89	$1,340.17	$2,041.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,107.83 / $1,107.83 / $1,107.83	Facility		$1,107.83	$1,107.83	$1,107.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $970.47 / $1,418.49 / $2,028.00	Professional		$970.47	$1,418.49	$2,028.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $689.76 / $1,143.55	Professional		$72.37	$689.76	$1,143.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.61 / $1,278.80 / $2,077.36	Professional		$835.61	$1,278.80	$2,077.36