Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.46 / $8,050.00 / $11,581.00	Facility		$2,086.46	$8,050.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.09 / $1,647.89 / $3,058.21	Professional		$1,519.09	$1,647.89	$3,058.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $16,971.45 / $31,141.30	Facility		$5,577.00	$16,971.45	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,463.10 / $1,945.01 / $3,016.30	Professional		$1,463.10	$1,945.01	$3,016.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,478.52 / $1,612.93 / $2,348.65	Facility		$1,478.52	$1,612.93	$2,348.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,739.44 / $1,739.44 / $2,213.83	Professional		$1,739.44	$1,739.44	$2,213.83
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 $1,660.38 / $2,350.03 / $3,462.14	Professional		$1,660.38	$2,350.03	$3,462.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,660.38 / $2,407.60 / $3,408.74	Professional		$1,660.38	$2,407.60	$3,408.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,179.67 / $1,982.10	Professional		$216.68	$1,179.67	$1,982.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,464.37 / $2,288.08 / $3,546.42	Professional		$1,464.37	$2,288.08	$3,546.42