Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.09 / $7,234.00 / $11,735.00	Facility		$1,186.09	$7,234.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.10 / $2,310.89 / $3,655.24	Professional		$643.10	$2,310.89	$3,655.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.13 / $762.49 / $1,304.63	Professional		$528.13	$762.49	$1,304.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $594.11 / $648.12 / $943.75	Facility		$594.11	$648.12	$943.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,440.78 / $2,508.00 / $3,192.00	Professional		$1,440.78	$2,508.00	$3,192.00
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 $743.43 / $2,280.00 / $4,505.77	Professional		$743.43	$2,280.00	$4,505.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,144.52	Facility		$1,144.52	$1,144.52	$1,144.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $756.14 / $2,302.38 / $4,505.77	Professional		$756.14	$2,302.38	$4,505.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $1,685.99 / $2,939.15	Professional		$247.48	$1,685.99	$2,939.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,427.00	Facility		$2,647.00	$4,404.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,189.46 / $3,331.74 / $5,444.99	Professional		$2,189.46	$3,331.74	$5,444.99