Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $8,553.00 / $11,627.00	Facility		$2,292.00	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.98 / $1,280.34 / $1,400.00	Professional		$895.98	$1,280.34	$1,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,072.58 / $2,712.38 / $4,222.21	Professional		$2,072.58	$2,712.38	$4,222.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.73 / $15,391.96 / $30,705.20	Facility		$1,154.73	$15,391.96	$30,705.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,204.58 / $18,068.82 / $31,886.16	Professional		$1,204.58	$18,068.82	$31,886.16
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,493.35 / $1,493.35 / $1,493.35	Facility		$1,493.35	$1,493.35	$1,493.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,097.42 / $2,097.42 / $5,843.53	Professional		$2,097.42	$2,097.42	$5,843.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.50 / $1,765.47 / $2,715.81	Professional		$1,069.50	$1,765.47	$2,715.81