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 $1,436.50 / $1,653.00 / $3,283.50	Professional		$1,436.50	$1,653.00	$3,283.50
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 $1,304.75 / $2,002.26 / $5,746.65	Professional		$1,304.75	$2,002.26	$5,746.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,489.33 / $1,624.73 / $2,365.83	Facility		$1,489.33	$1,624.73	$2,365.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,403.82 / $1,752.16 / $2,230.02	Professional		$1,403.82	$1,752.16	$2,230.02
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 $1,592.31 / $2,230.02 / $3,184.49	Professional		$1,592.31	$2,230.02	$3,184.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,672.51 / $2,245.32 / $3,184.49	Professional		$1,672.51	$2,245.32	$3,184.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $1,159.27 / $1,984.21	Professional		$181.10	$1,159.27	$1,984.21
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 $1,359.58 / $2,103.54 / $3,467.57	Professional		$1,359.58	$2,103.54	$3,467.57