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 $1,612.69 / $1,790.69 / $3,503.85	Professional		$1,612.69	$1,790.69	$3,503.85
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 $1,533.26 / $2,182.63 / $3,567.80	Professional		$1,533.26	$2,182.63	$3,567.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,586.60 / $1,730.83 / $2,520.33	Facility		$1,586.60	$1,730.83	$2,520.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,843.61 / $1,866.58 / $2,375.65	Professional		$1,843.61	$1,866.58	$2,375.65
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 $1,763.49 / $2,467.12 / $3,670.41	Professional		$1,763.49	$2,467.12	$3,670.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,781.74 / $2,604.73 / $3,670.41	Professional		$1,781.74	$2,604.73	$3,670.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $1,239.55 / $2,111.75	Professional		$181.10	$1,239.55	$2,111.75
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 $1,490.04 / $2,268.50 / $3,637.31	Professional		$1,490.04	$2,268.50	$3,637.31