Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.87 / $6,582.00 / $11,581.00	Facility		$1,450.87	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.23 / $991.03 / $1,972.79	Professional		$908.23	$991.03	$1,972.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,084.00 / $17,584.00	Facility		$1,093.00	$7,084.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.94 / $1,084.14 / $1,722.45	Professional		$772.94	$1,084.14	$1,722.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.72 / $976.06 / $1,421.28	Facility		$894.72	$976.06	$1,421.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.60 / $1,052.60 / $1,339.69	Professional		$1,052.60	$1,052.60	$1,339.69
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 $995.19 / $1,367.15 / $1,954.70	Professional		$995.19	$1,367.15	$1,954.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $1,146.48	Facility		$1,146.48	$1,146.48	$1,146.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,004.76 / $1,387.53 / $1,986.11	Professional		$1,004.76	$1,387.53	$1,986.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $700.04 / $1,210.63	Professional		$108.15	$700.04	$1,210.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $828.92 / $1,280.42 / $2,065.92	Professional		$828.92	$1,280.42	$2,065.92