Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $6,345.00 / $11,627.00	Facility		$1,984.00	$6,345.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.10 / $1,480.98 / $2,717.78	Professional		$1,308.10	$1,480.98	$2,717.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.79 / $1,906.68 / $4,212.04	Professional		$1,227.79	$1,906.68	$4,212.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.68 / $1,478.93 / $2,153.52	Facility		$1,355.68	$1,478.93	$2,153.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,357.50 / $1,594.92 / $2,029.90	Professional		$1,357.50	$1,594.92	$2,029.90
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 $1,467.69 / $2,030.47 / $2,959.22	Professional		$1,467.69	$2,030.47	$2,959.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,738.56 / $1,738.56 / $1,738.56	Facility		$1,738.56	$1,738.56	$1,738.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,522.43 / $2,066.32 / $2,959.22	Professional		$1,522.43	$2,066.32	$2,959.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,082.70 / $1,802.48	Professional		$144.74	$1,082.70	$1,802.48
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 $1,248.56 / $1,945.59 / $3,151.51	Professional		$1,248.56	$1,945.59	$3,151.51