Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.18 / $6,845.00 / $11,735.00	Facility		$1,239.18	$6,845.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.93 / $1,575.73 / $2,702.76	Professional		$728.93	$1,575.73	$2,702.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.81 / $1,023.57 / $2,059.42	Professional		$664.81	$1,023.57	$2,059.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.10 / $735.38 / $1,070.81	Facility		$674.10	$735.38	$1,070.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,311.71 / $1,740.20 / $2,214.80	Professional		$1,311.71	$1,740.20	$2,214.80
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 $829.10 / $1,652.67 / $3,167.05	Professional		$829.10	$1,652.67	$3,167.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,297.44 / $1,297.44 / $1,297.44	Facility		$1,297.44	$1,297.44	$1,297.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $857.94 / $1,687.53 / $3,182.44	Professional		$857.94	$1,687.53	$3,182.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $1,160.61 / $2,031.39	Professional		$177.90	$1,160.61	$2,031.39
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 $1,501.22 / $2,310.44 / $3,799.04	Professional		$1,501.22	$2,310.44	$3,799.04