Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.88 / $2,750.24 / $9,516.00	Facility		$293.88	$2,750.24	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $2,750.24 / $5,280.46	Professional		$167.44	$2,750.24	$5,280.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $2,444.27 / $5,220.27	Professional		$164.20	$2,444.27	$5,220.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $185.51 / $229.61	Facility		$154.59	$185.51	$229.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,662.08 / $2,662.08 / $3,959.09	Professional		$2,662.08	$2,662.08	$3,959.09
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 $179.88 / $344.63 / $5,139.30	Professional		$179.88	$344.63	$5,139.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,151.38 / $3,107.08 / $6,039.07	Facility		$1,151.38	$3,107.08	$6,039.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $355.00 / $5,139.30	Professional		$185.51	$355.00	$5,139.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,265.75 / $3,102.04 / $4,314.78	Professional		$2,265.75	$3,102.04	$4,314.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,779.57 / $3,808.21 / $6,016.06	Professional		$2,779.57	$3,808.21	$6,016.06