Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $6,930.79 / $11,581.00	Facility		$2,292.00	$6,930.79	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.75 / $2,082.67 / $3,779.81	Professional		$1,652.75	$2,082.67	$3,779.81
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 $1,444.15 / $2,052.28 / $3,298.77	Professional		$1,444.15	$2,052.28	$3,298.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,891.69 / $2,063.66 / $3,004.97	Facility		$1,891.69	$2,063.66	$3,004.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,908.85 / $2,225.52 / $2,832.48	Professional		$1,908.85	$2,225.52	$2,832.48
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 $2,004.71 / $2,706.91 / $3,913.37	Professional		$2,004.71	$2,706.91	$3,913.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,409.73 / $2,409.73 / $2,409.73	Facility		$2,409.73	$2,409.73	$2,409.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,023.20 / $2,737.65 / $3,913.37	Professional		$2,023.20	$2,737.65	$3,913.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,469.27 / $2,552.38	Professional		$216.68	$1,469.27	$2,552.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,578.00 / $11,097.00	Facility		$3,793.00	$6,578.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.98 / $2,448.04 / $4,113.22	Professional		$1,592.98	$2,448.04	$4,113.22