Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.28 / $1,978.43 / $5,578.88	Facility		$1,155.28	$1,978.43	$5,578.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.28 / $1,486.73 / $2,692.49	Professional		$1,155.28	$1,486.73	$2,692.49
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 $1,127.06 / $1,499.74 / $2,449.94	Professional		$1,127.06	$1,499.74	$2,449.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.21 / $1,167.50 / $1,700.04	Facility		$1,070.21	$1,167.50	$1,700.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,463.67 / $1,623.40 / $2,066.15	Professional		$1,463.67	$1,623.40	$2,066.15
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 $1,362.08 / $1,993.74 / $2,927.42	Professional		$1,362.08	$1,993.74	$2,927.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,067.04 / $2,067.04 / $2,067.04	Facility		$2,067.04	$2,067.04	$2,067.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,362.08 / $2,003.06 / $2,927.42	Professional		$1,362.08	$2,003.06	$2,927.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,094.22 / $1,843.67	Professional		$144.74	$1,094.22	$1,843.67
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 $1,285.80 / $1,993.19 / $3,199.39	Professional		$1,285.80	$1,993.19	$3,199.39