Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,666.00 / $6,006.00	Facility		$1,950.00	$3,666.00	$6,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,599.00 / $4,361.00	Professional		$1,228.50	$1,599.00	$4,361.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,721.85 / $2,106.00 / $3,450.92	Facility		$1,721.85	$2,106.00	$3,450.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $432.68 / $2,419.94	Professional		$305.56	$432.68	$2,419.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $5,703.75 / $45,630.00	Facility		$1,950.00	$5,703.75	$45,630.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.32 / $4,680.00 / $45,862.11	Professional		$2,038.32	$4,680.00	$45,862.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.28 / $2,007.72 / $10,015.79	Facility		$1,740.28	$2,007.72	$10,015.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,554.50 / $10,042.19	Professional		$1,560.00	$2,554.50	$10,042.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,740.28 / $2,007.72 / $11,292.04	Facility		$1,740.28	$2,007.72	$11,292.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Professional		$1,560.00	$1,560.00	$1,560.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,535.62 / $1,755.00 / $2,413.12	Professional		$1,535.62	$1,755.00	$2,413.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,106.00	Facility		$2,106.00	$2,106.00	$2,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,830.82	Professional		$737.10	$1,053.00	$2,830.82