Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.45 / $2,383.51 / $9,012.95	Facility		$1,276.45	$2,383.51	$9,012.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.45 / $1,590.31 / $2,863.05	Professional		$1,276.45	$1,590.31	$2,863.05
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 $1,257.17 / $1,676.20 / $2,764.37	Professional		$1,257.17	$1,676.20	$2,764.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.19 / $1,288.57 / $1,876.34	Facility		$1,181.19	$1,288.57	$1,876.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.45 / $1,737.45 / $2,211.30	Professional		$1,737.45	$1,737.45	$2,211.30
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 $1,473.21 / $2,166.48 / $3,169.45	Professional		$1,473.21	$2,166.48	$3,169.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,281.71 / $2,281.71 / $2,281.71	Facility		$2,281.71	$2,281.71	$2,281.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,473.21 / $2,172.05 / $3,244.94	Professional		$1,473.21	$2,172.05	$3,244.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $1,156.21 / $1,950.92	Professional		$181.10	$1,156.21	$1,950.92
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 $1,426.53 / $2,196.96 / $3,452.49	Professional		$1,426.53	$2,196.96	$3,452.49