Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.01 / $5,690.00 / $11,627.00	Facility		$1,483.01	$5,690.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.76 / $999.50 / $2,020.43	Professional		$897.76	$999.50	$2,020.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $1,182.64 / $1,957.57	Professional		$870.23	$1,182.64	$1,957.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $992.59 / $1,445.35	Facility		$909.88	$992.59	$1,445.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,070.44 / $1,070.44 / $1,362.38	Professional		$1,070.44	$1,070.44	$1,362.38
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 $1,021.79 / $1,427.58 / $2,082.50	Professional		$1,021.79	$1,427.58	$2,082.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,164.19 / $1,164.19 / $1,164.19	Facility		$1,164.19	$1,164.19	$1,164.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,021.79 / $1,470.26 / $2,097.42	Professional		$1,021.79	$1,470.26	$2,097.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $708.67 / $1,214.73	Professional		$108.15	$708.67	$1,214.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.28 / $1,291.83 / $2,104.17	Professional		$827.28	$1,291.83	$2,104.17