Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.84 / $6,251.00 / $11,581.00	Facility		$1,749.84	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.93 / $1,204.51 / $2,159.94	Professional		$1,072.93	$1,204.51	$2,159.94
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 $950.24 / $1,314.28 / $2,069.08	Professional		$950.24	$1,314.28	$2,069.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.95 / $1,175.94 / $1,712.32	Facility		$1,077.95	$1,175.94	$1,712.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,172.83 / $1,268.17 / $1,614.03	Professional		$1,172.83	$1,268.17	$1,614.03
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 $1,178.27 / $1,649.13 / $2,426.56	Professional		$1,178.27	$1,649.13	$2,426.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,381.30 / $1,381.30 / $1,381.30	Facility		$1,381.30	$1,381.30	$1,381.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,210.52 / $1,675.23 / $2,407.52	Professional		$1,210.52	$1,675.23	$2,407.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $845.50 / $1,443.01	Professional		$144.65	$845.50	$1,443.01
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 $1,016.60 / $1,522.46 / $2,465.89	Professional		$1,016.60	$1,522.46	$2,465.89