Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.00 / $6,251.00 / $11,581.00	Facility		$1,578.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.29 / $1,079.99 / $2,780.34	Professional		$927.29	$1,079.99	$2,780.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.51 / $1,185.16 / $1,896.95	Professional		$900.51	$1,185.16	$1,896.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.10 / $1,052.83 / $1,533.07	Facility		$965.10	$1,052.83	$1,533.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,105.99 / $1,135.41 / $1,445.07	Professional		$1,105.99	$1,135.41	$1,445.07
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 $1,073.83 / $1,496.67 / $2,197.28	Professional		$1,073.83	$1,496.67	$2,197.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,243.70 / $1,243.70 / $1,243.70	Facility		$1,243.70	$1,243.70	$1,243.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,083.80 / $1,559.97 / $2,183.38	Professional		$1,083.80	$1,559.97	$2,183.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $764.74 / $1,316.63	Professional		$108.28	$764.74	$1,316.63
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 $867.05 / $1,361.88 / $2,173.77	Professional		$867.05	$1,361.88	$2,173.77