Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,135.00 / $10,817.74	Facility		$1,610.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.42 / $1,213.25 / $3,652.61	Professional		$986.42	$1,213.25	$3,652.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.50 / $1,147.04 / $2,024.24	Professional		$840.50	$1,147.04	$2,024.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.34 / $1,775.61 / $2,172.51	Facility		$1,448.34	$1,775.61	$2,172.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $921.70 / $1,392.64 / $2,172.51	Professional		$921.70	$1,392.64	$2,172.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.30 / $1,469.12 / $21,571.00	Facility		$1,359.30	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.36 / $1,490.55 / $2,390.42	Professional		$1,007.36	$1,490.55	$2,390.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $978.53 / $1,504.25 / $2,161.46	Professional		$978.53	$1,504.25	$2,161.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $878.20 / $1,468.60	Professional		$152.74	$878.20	$1,468.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.87 / $1,238.18 / $2,519.85	Professional		$962.87	$1,238.18	$2,519.85