Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $7,342.00 / $11,627.00	Facility		$1,984.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $1,148.45 / $1,422.10	Professional		$793.84	$1,148.45	$1,422.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.86 / $2,272.75 / $3,435.35	Professional		$1,679.86	$2,272.75	$3,435.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,226.74 / $15,640.97 / $32,620.19	Facility		$1,226.74	$15,640.97	$32,620.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,279.71 / $19,195.72 / $33,874.82	Professional		$1,279.71	$19,195.72	$33,874.82
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 $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,881.31 / $1,881.31 / $5,578.48	Professional		$1,881.31	$1,881.31	$5,578.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,676.00	Facility		$4,070.00	$8,448.00	$13,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.03 / $1,577.28 / $2,468.83	Professional		$1,033.03	$1,577.28	$2,468.83