Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.37 / $7,155.00 / $11,581.00	Facility		$2,176.37	$7,155.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.76 / $1,463.60 / $2,952.68	Professional		$1,275.76	$1,463.60	$2,952.68
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 $1,192.67 / $1,688.36 / $2,670.67	Professional		$1,192.67	$1,688.36	$2,670.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,339.01 / $1,460.74 / $2,127.03	Facility		$1,339.01	$1,460.74	$2,127.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.79 / $1,575.30 / $2,004.93	Professional		$1,564.79	$1,575.30	$2,004.93
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 $1,484.23 / $2,014.31 / $2,858.93	Professional		$1,484.23	$2,014.31	$2,858.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,710.90	Facility		$1,710.90	$1,710.90	$1,710.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,503.33 / $2,076.52 / $2,858.93	Professional		$1,503.33	$2,076.52	$2,858.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,056.39 / $1,796.88	Professional		$144.74	$1,056.39	$1,796.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,557.00 / $10,989.00	Facility		$3,793.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.27 / $1,862.53 / $3,084.21	Professional		$1,228.27	$1,862.53	$3,084.21