Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.11 / $6,517.86 / $11,754.00	Facility		$1,288.11	$6,517.86	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $2,817.75 / $5,032.46	Professional		$757.72	$2,817.75	$5,032.46
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 $691.08 / $1,056.95 / $2,028.84	Professional		$691.08	$1,056.95	$2,028.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.01 / $764.74 / $1,113.56	Facility		$701.01	$764.74	$1,113.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,092.63 / $3,926.78 / $4,997.72	Professional		$3,092.63	$3,926.78	$4,997.72
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 $862.20 / $2,903.17 / $6,425.63	Professional		$862.20	$2,903.17	$6,425.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,349.47 / $1,349.47 / $1,349.47	Facility		$1,349.47	$1,349.47	$1,349.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $892.19 / $3,328.66 / $6,425.63	Professional		$892.19	$3,328.66	$6,425.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $423.82 / $2,643.35 / $4,608.51	Professional		$423.82	$2,643.35	$4,608.51
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 $2,813.92 / $4,628.79 / $7,945.71	Professional		$2,813.92	$4,628.79	$7,945.71