Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.24 / $6,075.00 / $11,627.00	Facility		$1,414.24	$6,075.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.50 / $1,334.66 / $3,331.49	Professional		$1,164.50	$1,334.66	$3,331.49
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 $1,077.90 / $1,650.43 / $4,585.39	Professional		$1,077.90	$1,650.43	$4,585.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,163.77 / $1,269.56 / $1,848.66	Facility		$1,163.77	$1,269.56	$1,848.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,273.41 / $1,369.14 / $1,742.54	Professional		$1,273.41	$1,369.14	$1,742.54
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 $1,274.01 / $1,795.37 / $2,570.60	Professional		$1,274.01	$1,795.37	$2,570.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,491.55 / $1,491.55 / $1,491.55	Facility		$1,491.55	$1,491.55	$1,491.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,306.90 / $1,869.19 / $2,570.60	Professional		$1,306.90	$1,869.19	$2,570.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $929.42 / $1,592.05	Professional		$144.74	$929.42	$1,592.05
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 $1,108.66 / $1,657.16 / $2,743.39	Professional		$1,108.66	$1,657.16	$2,743.39