Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $6,021.00 / $11,627.00	Facility		$1,984.00	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.34 / $1,615.63 / $4,155.47	Professional		$1,390.34	$1,615.63	$4,155.47
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 $1,334.62 / $1,903.12 / $3,100.52	Professional		$1,334.62	$1,903.12	$3,100.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,440.35 / $1,571.29 / $2,288.01	Facility		$1,440.35	$1,571.29	$2,288.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,668.67 / $1,694.53 / $2,156.67	Professional		$1,668.67	$1,694.53	$2,156.67
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 $1,604.05 / $2,229.17 / $3,232.67	Professional		$1,604.05	$2,229.17	$3,232.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $1,858.64	Facility		$1,858.64	$1,858.64	$1,858.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,617.51 / $2,233.69 / $3,232.67	Professional		$1,617.51	$2,233.69	$3,232.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $1,139.59 / $1,943.69	Professional		$180.97	$1,139.59	$1,943.69
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 $1,317.38 / $2,058.42 / $3,242.81	Professional		$1,317.38	$2,058.42	$3,242.81