Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,401.00 / $10,635.00	Facility		$1,406.00	$3,401.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.91 / $976.94 / $3,147.82	Professional		$851.91	$976.94	$3,147.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.93 / $971.58 / $1,714.60	Professional		$711.93	$971.58	$1,714.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.70 / $1,435.23 / $1,756.05	Facility		$1,170.70	$1,435.23	$1,756.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $818.55 / $1,125.68 / $1,756.05	Professional		$818.55	$1,125.68	$1,756.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.85 / $1,124.08 / $21,571.00	Facility		$1,093.85	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.84 / $1,238.52 / $1,948.04	Professional		$815.84	$1,238.52	$1,948.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $820.01 / $1,238.52 / $1,818.73	Professional		$820.01	$1,238.52	$1,818.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $716.39 / $1,194.71	Professional		$112.50	$716.39	$1,194.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.68 / $1,038.22 / $2,104.03	Professional		$825.68	$1,038.22	$2,104.03