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 $1,332.79 / $1,577.11 / $2,805.71	Professional		$1,332.79	$1,577.11	$2,805.71
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 $1,277.75 / $1,813.47 / $2,885.69	Professional		$1,277.75	$1,813.47	$2,885.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,375.35 / $1,500.38 / $2,184.75	Facility		$1,375.35	$1,500.38	$2,184.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,561.66 / $1,618.06 / $2,059.34	Professional		$1,561.66	$1,618.06	$2,059.34
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 $1,522.08 / $2,093.05 / $3,101.00	Professional		$1,522.08	$2,093.05	$3,101.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,544.51 / $2,151.59 / $3,127.29	Professional		$1,544.51	$2,151.59	$3,127.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,090.53 / $1,834.32	Professional		$144.74	$1,090.53	$1,834.32
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 $1,331.75 / $1,943.10 / $3,255.02	Professional		$1,331.75	$1,943.10	$3,255.02