Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.43 / $5,706.00 / $11,627.00	Facility		$1,436.43	$5,706.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.52 / $1,053.02 / $2,087.37	Professional		$930.52	$1,053.02	$2,087.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.01 / $1,108.85 / $1,752.75	Professional		$815.01	$1,108.85	$1,752.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.99 / $1,047.26 / $1,524.96	Facility		$959.99	$1,047.26	$1,524.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $978.83 / $1,129.40 / $1,437.42	Professional		$978.83	$1,129.40	$1,437.42
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 $1,026.73 / $1,437.42 / $2,159.98	Professional		$1,026.73	$1,437.42	$2,159.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,223.35 / $1,223.35 / $1,223.35	Facility		$1,223.35	$1,223.35	$1,223.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,078.06 / $1,488.75 / $2,159.98	Professional		$1,078.06	$1,488.75	$2,159.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $825.99 / $1,343.25	Professional		$107.95	$825.99	$1,343.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $1,354.79 / $2,091.13	Professional		$846.26	$1,354.79	$2,091.13