Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.38 / $7,155.00 / $11,581.00	Facility		$1,897.38	$7,155.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.41 / $1,294.88 / $2,617.30	Professional		$1,197.41	$1,294.88	$2,617.30
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 $1,017.54 / $1,413.78 / $2,242.33	Professional		$1,017.54	$1,413.78	$2,242.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,165.30 / $1,271.23 / $1,851.09	Facility		$1,165.30	$1,271.23	$1,851.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.13 / $1,370.94 / $1,744.83	Professional		$1,191.13	$1,370.94	$1,744.83
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 $1,278.88 / $1,747.00 / $2,586.02	Professional		$1,278.88	$1,747.00	$2,586.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,496.15 / $1,496.15 / $1,496.15	Facility		$1,496.15	$1,496.15	$1,496.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,308.63 / $1,807.16 / $2,586.02	Professional		$1,308.63	$1,807.16	$2,586.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $906.74 / $1,555.71	Professional		$144.74	$906.74	$1,555.71
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 $1,098.77 / $1,643.18 / $2,655.42	Professional		$1,098.77	$1,643.18	$2,655.42