Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.66 / $5,201.00 / $11,627.00	Facility		$1,245.66	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.05 / $841.99 / $1,668.89	Professional		$720.05	$841.99	$1,668.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,287.00 / $14,996.00	Facility		$1,152.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.69 / $849.10 / $1,356.59	Professional		$588.69	$849.10	$1,356.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,075.08 / $1,075.08 / $1,075.08	Professional		$1,075.08	$1,075.08	$1,075.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.34 / $837.10 / $1,218.92	Facility		$767.34	$837.10	$1,218.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.54 / $902.75 / $1,148.95	Professional		$637.54	$902.75	$1,148.95
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 $850.13 / $1,144.28 / $1,590.83	Professional		$850.13	$1,144.28	$1,590.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $983.16 / $983.16	Facility		$983.16	$983.16	$983.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $861.71 / $1,148.95 / $1,681.13	Professional		$861.71	$1,148.95	$1,681.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $620.34 / $1,024.27	Professional		$72.32	$620.34	$1,024.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.18 / $1,052.92 / $1,870.32	Professional		$673.18	$1,052.92	$1,870.32