Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.86 / $6,309.00 / $11,627.00	Facility		$1,715.86	$6,309.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.56 / $1,748.41 / $3,141.53	Professional		$1,545.56	$1,748.41	$3,141.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,812.48 / $2,555.28 / $4,139.18	Professional		$1,812.48	$2,555.28	$4,139.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.15 / $1,711.80 / $2,492.61	Facility		$1,569.15	$1,711.80	$2,492.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,846.05 / $1,846.05 / $2,349.52	Professional		$1,846.05	$1,846.05	$2,349.52
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.91 / $2,550.16 / $3,635.90	Professional		$1,752.91	$2,550.16	$3,635.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Facility		$2,004.00	$2,004.00	$2,004.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,762.15 / $2,585.82 / $3,819.24	Professional		$1,762.15	$2,585.82	$3,819.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,228.92 / $2,106.67	Professional		$216.68	$1,228.92	$2,106.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.38 / $2,321.23 / $3,584.42	Professional		$1,479.38	$2,321.23	$3,584.42