Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.83 / $3,698.00 / $10,532.96	Facility		$1,344.83	$3,698.00	$10,532.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $1,213.39 / $2,435.58	Professional		$1,097.84	$1,213.39	$2,435.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.61 / $1,244.08 / $2,078.00	Professional		$364.61	$1,244.08	$2,078.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.98 / $1,168.33 / $1,701.26	Facility		$1,070.98	$1,168.33	$1,701.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,131.79 / $1,259.97 / $1,603.60	Professional		$1,131.79	$1,259.97	$1,603.60
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 $1,169.49 / $1,660.87 / $2,518.53	Professional		$1,169.49	$1,660.87	$2,518.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,202.70 / $1,727.90 / $2,451.21	Professional		$1,202.70	$1,727.90	$2,451.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $861.62 / $1,419.04	Professional		$108.15	$861.62	$1,419.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.82 / $1,596.00 / $2,561.42	Professional		$1,029.82	$1,596.00	$2,561.42