Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $6,075.00 / $11,627.00	Facility		$1,984.00	$6,075.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.25 / $1,575.65 / $2,835.77	Professional		$1,456.25	$1,575.65	$2,835.77
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 $1,195.21 / $1,670.39 / $2,641.54	Professional		$1,195.21	$1,670.39	$2,641.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,415.59 / $1,544.28 / $2,248.69	Facility		$1,415.59	$1,544.28	$2,248.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,408.53 / $1,665.40 / $2,119.60	Professional		$1,408.53	$1,665.40	$2,119.60
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 $1,521.01 / $2,130.75 / $3,114.02	Professional		$1,521.01	$2,130.75	$3,114.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,589.70 / $2,199.12 / $3,099.20	Professional		$1,589.70	$2,199.12	$3,099.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,128.70 / $1,909.65	Professional		$144.74	$1,128.70	$1,909.65
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 $1,321.61 / $2,016.85 / $3,258.55	Professional		$1,321.61	$2,016.85	$3,258.55