Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.83 / $2,019.55 / $5,773.88	Facility		$1,241.83	$2,019.55	$5,773.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,512.63 / $2,776.57	Professional		$1,241.83	$1,512.63	$2,776.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.81 / $1,648.28 / $2,710.01	Professional		$1,200.81	$1,648.28	$2,710.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.29 / $1,254.85 / $1,827.25	Facility		$1,150.29	$1,254.85	$1,827.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,647.60 / $1,647.60 / $2,096.94	Professional		$1,647.60	$1,647.60	$2,096.94
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 $1,411.10 / $2,075.15 / $3,071.11	Professional		$1,411.10	$2,075.15	$3,071.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,411.10 / $2,083.44 / $3,071.11	Professional		$1,411.10	$2,083.44	$3,071.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,101.04 / $1,870.67	Professional		$144.74	$1,101.04	$1,870.67
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 $1,375.74 / $2,126.66 / $3,306.96	Professional		$1,375.74	$2,126.66	$3,306.96