Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.04 / $3,602.00 / $10,635.00	Facility		$1,347.04	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.94 / $1,055.63 / $2,060.96	Professional		$917.94	$1,055.63	$2,060.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.80 / $1,212.71 / $1,877.52	Professional		$867.80	$1,212.71	$1,877.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.17 / $1,044.18 / $1,520.47	Facility		$957.17	$1,044.18	$1,520.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.58 / $1,126.07 / $1,433.18	Professional		$1,111.58	$1,126.07	$1,433.18
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 $1,029.31 / $1,436.96 / $2,014.99	Professional		$1,029.31	$1,436.96	$2,014.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,074.89 / $1,484.37 / $2,011.51	Professional		$1,074.89	$1,484.37	$2,011.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $825.99 / $1,312.24	Professional		$104.14	$825.99	$1,312.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,578.00 / $11,097.00	Facility		$3,793.00	$6,578.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.58 / $1,340.62 / $2,008.38	Professional		$845.58	$1,340.62	$2,008.38