Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.56 / $5,201.00 / $11,627.00	Facility		$1,377.56	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.81 / $1,067.18 / $2,145.65	Professional		$920.81	$1,067.18	$2,145.65
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 $911.78 / $1,287.21 / $2,023.72	Professional		$911.78	$1,287.21	$2,023.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.29 / $1,033.40 / $1,504.78	Facility		$947.29	$1,033.40	$1,504.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,093.64 / $1,114.45 / $1,418.40	Professional		$1,093.64	$1,114.45	$1,418.40
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 $1,044.58 / $1,469.05 / $2,054.90	Professional		$1,044.58	$1,469.05	$2,054.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,224.10 / $1,224.10 / $1,224.10	Facility		$1,224.10	$1,224.10	$1,224.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,063.79 / $1,516.92 / $2,054.90	Professional		$1,063.79	$1,516.92	$2,054.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $927.04 / $1,363.70	Professional		$134.43	$927.04	$1,363.70
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 $896.50 / $1,367.74 / $2,021.55	Professional		$896.50	$1,367.74	$2,021.55