Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.99 / $6,064.00 / $11,581.00	Facility		$1,212.99	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.62 / $1,056.52 / $2,604.96	Professional		$940.62	$1,056.52	$2,604.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.68 / $1,196.44 / $1,874.90	Professional		$867.68	$1,196.44	$1,874.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.69 / $990.20 / $1,441.88	Facility		$907.69	$990.20	$1,441.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.22 / $1,067.86 / $1,359.11	Professional		$936.22	$1,067.86	$1,359.11
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 $997.60 / $1,386.26 / $2,050.87	Professional		$997.60	$1,386.26	$2,050.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $1,166.55 / $1,166.55	Facility		$1,166.55	$1,166.55	$1,166.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,461.57 / $2,039.31	Professional		$1,010.40	$1,461.57	$2,039.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $709.85 / $1,250.27	Professional		$107.98	$709.85	$1,250.27
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 $870.77 / $1,299.55 / $2,070.51	Professional		$870.77	$1,299.55	$2,070.51