Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,662.00 / $11,581.00	Facility		$1,375.00	$6,662.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.98 / $973.29 / $1,937.89	Professional		$868.98	$973.29	$1,937.89
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 $830.35 / $1,230.54 / $2,766.84	Professional		$830.35	$1,230.54	$2,766.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $885.04 / $1,135.88 / $1,508.60	Facility		$885.04	$1,135.88	$1,508.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,041.23 / $1,325.20 / $127,498.73	Professional		$1,041.23	$1,325.20	$127,498.73
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 $968.79 / $1,342.70 / $1,962.26	Professional		$968.79	$1,342.70	$1,962.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,134.56 / $1,134.56 / $1,134.56	Facility		$1,134.56	$1,134.56	$1,134.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $993.90 / $1,372.52 / $1,966.08	Professional		$993.90	$1,372.52	$1,966.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $697.24 / $1,174.25	Professional		$72.37	$697.24	$1,174.25
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 $811.44 / $1,251.49 / $2,022.74	Professional		$811.44	$1,251.49	$2,022.74