Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $6,075.00 / $11,627.00	Facility		$1,925.00	$6,075.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.24 / $1,380.51 / $3,526.60	Professional		$1,230.24	$1,380.51	$3,526.60
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 $1,119.95 / $1,712.26 / $4,423.52	Professional		$1,119.95	$1,712.26	$4,423.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,231.95 / $1,343.94 / $1,956.97	Facility		$1,231.95	$1,343.94	$1,956.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,375.49 / $1,449.35 / $1,844.63	Professional		$1,375.49	$1,449.35	$1,844.63
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 $1,348.26 / $1,853.66 / $2,736.07	Professional		$1,348.26	$1,853.66	$2,736.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,383.47 / $1,978.67 / $2,660.08	Professional		$1,383.47	$1,978.67	$2,660.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $971.46 / $1,642.31	Professional		$144.74	$971.46	$1,642.31
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 $1,111.38 / $1,746.39 / $2,848.34	Professional		$1,111.38	$1,746.39	$2,848.34