Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,028.36 / $7,342.00 / $11,581.00	Facility		$2,028.36	$7,342.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,377.62 / $2,451.48	Professional		$1,269.08	$1,377.62	$2,451.48
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 $1,160.73 / $1,769.92 / $4,818.51	Professional		$1,160.73	$1,769.92	$4,818.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.92 / $1,359.18 / $1,979.16	Facility		$1,245.92	$1,359.18	$1,979.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,307.96 / $1,465.78 / $1,865.54	Professional		$1,307.96	$1,465.78	$1,865.54
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 $1,366.86 / $1,886.72 / $2,789.20	Professional		$1,366.86	$1,886.72	$2,789.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,599.88 / $1,599.88 / $1,599.88	Facility		$1,599.88	$1,599.88	$1,599.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,399.16 / $1,939.49 / $2,789.20	Professional		$1,399.16	$1,939.49	$2,789.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $973.37 / $1,669.32	Professional		$144.74	$973.37	$1,669.32
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 $1,154.96 / $1,776.11 / $2,843.52	Professional		$1,154.96	$1,776.11	$2,843.52