Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,747.00 / $11,627.00	Facility		$1,925.00	$5,747.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,396.58 / $2,742.63	Professional		$1,201.00	$1,396.58	$2,742.63
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 $1,098.44 / $1,486.13 / $2,344.73	Professional		$1,098.44	$1,486.13	$2,344.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.64 / $1,358.88 / $1,978.72	Facility		$1,245.64	$1,358.88	$1,978.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,372.15 / $1,465.46 / $1,865.14	Professional		$1,372.15	$1,465.46	$1,865.14
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 $1,361.85 / $1,875.74 / $2,711.01	Professional		$1,361.85	$1,875.74	$2,711.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $1,596.46	Facility		$1,596.46	$1,596.46	$1,596.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,398.86 / $1,924.48 / $2,711.01	Professional		$1,398.86	$1,924.48	$2,711.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $992.27 / $1,676.47	Professional		$144.74	$992.27	$1,676.47
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 $1,133.01 / $1,783.09 / $2,783.89	Professional		$1,133.01	$1,783.09	$2,783.89