Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $8,037.00 / $11,754.00	Facility		$1,575.00	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.96 / $1,112.44 / $2,203.77	Professional		$951.96	$1,112.44	$2,203.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.00 / $6,932.00 / $30,285.00	Facility		$3,151.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.52 / $1,270.17 / $2,023.79	Professional		$933.52	$1,270.17	$2,023.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,010.61 / $1,102.49 / $1,605.38	Facility		$1,010.61	$1,102.49	$1,605.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,188.96 / $1,188.96 / $1,513.22	Professional		$1,188.96	$1,188.96	$1,513.22
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 $1,132.08 / $1,561.95 / $2,243.25	Professional		$1,132.08	$1,561.95	$2,243.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,294.18 / $1,294.18 / $1,294.18	Facility		$1,294.18	$1,294.18	$1,294.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,134.92 / $1,570.77 / $2,243.25	Professional		$1,134.92	$1,570.77	$2,243.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $796.51 / $1,337.00	Professional		$108.28	$796.51	$1,337.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.20 / $1,410.50 / $2,304.09	Professional		$902.20	$1,410.50	$2,304.09