Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.42 / $3,698.00 / $10,635.00	Facility		$1,398.42	$3,698.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.83 / $1,192.09 / $2,149.02	Professional		$1,025.83	$1,192.09	$2,149.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.33 / $1,133.10 / $1,925.03	Professional		$776.33	$1,133.10	$1,925.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,088.86 / $1,187.85 / $1,729.69	Facility		$1,088.86	$1,187.85	$1,729.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.06 / $1,281.03 / $1,630.40	Professional		$879.06	$1,281.03	$1,630.40
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 $1,164.57 / $1,588.92 / $2,283.59	Professional		$1,164.57	$1,588.92	$2,283.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,379.69 / $1,379.69	Facility		$1,379.69	$1,379.69	$1,379.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,216.34 / $1,630.39 / $2,241.15	Professional		$1,216.34	$1,630.39	$2,241.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $868.65 / $1,494.72	Professional		$146.71	$868.65	$1,494.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.47 / $1,439.35 / $2,422.96	Professional		$950.47	$1,439.35	$2,422.96