Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.89 / $5,135.00 / $11,627.00	Facility		$1,120.89	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.40 / $1,131.52 / $2,109.27	Professional		$977.40	$1,131.52	$2,109.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.14 / $1,264.85 / $1,965.93	Professional		$865.14	$1,264.85	$1,965.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,113.08 / $1,214.27 / $1,768.14	Facility		$1,113.08	$1,214.27	$1,768.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,223.16 / $1,309.51 / $1,666.64	Professional		$1,223.16	$1,309.51	$1,666.64
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 $1,157.34 / $1,607.12 / $2,290.52	Professional		$1,157.34	$1,607.12	$2,290.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $1,409.80 / $1,409.80	Facility		$1,409.80	$1,409.80	$1,409.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,190.46 / $1,666.65 / $2,290.52	Professional		$1,190.46	$1,666.65	$2,290.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $1,078.65 / $1,629.26	Professional		$170.81	$1,078.65	$1,629.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.86 / $1,433.59 / $2,269.67	Professional		$903.86	$1,433.59	$2,269.67