Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,616.00 / $10,268.00	Facility		$1,610.00	$5,616.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.45 / $992.01 / $2,619.96	Professional		$947.45	$992.01	$2,619.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,967.00 / $14,996.00	Facility		$1,794.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $1,076.02 / $1,891.52	Professional		$809.04	$1,076.02	$1,891.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.96 / $1,097.95 / $1,358.95	Facility		$914.96	$1,097.95	$1,358.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.46 / $1,006.46 / $1,082.02	Professional		$1,006.46	$1,006.46	$1,082.02
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 $775.52 / $1,299.66 / $1,967.89	Professional		$775.52	$1,299.66	$1,967.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,775.45 / $4,775.45 / $12,901.49	Facility		$4,775.45	$4,775.45	$12,901.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $914.96 / $1,391.38 / $1,901.33	Professional		$914.96	$1,391.38	$1,901.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $923.63 / $1,341.01	Professional		$115.77	$923.63	$1,341.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.37 / $1,203.70 / $2,034.19	Professional		$897.37	$1,203.70	$2,034.19