Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.68 / $3,602.00 / $10,635.00	Facility		$1,351.68	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.31 / $993.08 / $1,851.29	Professional		$881.31	$993.08	$1,851.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.95 / $937.13 / $1,598.21	Professional		$659.95	$937.13	$1,598.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.01 / $1,160.23 / $1,436.04	Facility		$904.01	$1,160.23	$1,436.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,063.55 / $1,063.55 / $1,208.58	Professional		$1,063.55	$1,063.55	$1,208.58
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 $878.20 / $1,353.60 / $2,054.13	Professional		$878.20	$1,353.60	$2,054.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,155.38 / $1,155.38 / $1,155.38	Facility		$1,155.38	$1,155.38	$1,155.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,355.10 / $2,054.13	Professional		$960.78	$1,355.10	$2,054.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $909.34 / $1,361.93	Professional		$142.18	$909.34	$1,361.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,557.00 / $10,023.00	Facility		$3,793.00	$6,557.00	$10,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.50 / $1,281.04 / $2,117.19	Professional		$857.50	$1,281.04	$2,117.19