Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.84 / $7,501.00 / $14,579.00	Facility		$1,512.84	$7,501.00	$14,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.81 / $1,169.64 / $1,809.72	Professional		$1,016.81	$1,169.64	$1,809.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,869.00 / $14,996.00	Facility		$1,712.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.20 / $1,276.26 / $1,940.75	Professional		$941.20	$1,276.26	$1,940.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,058.78 / $1,155.04 / $1,681.90	Facility		$1,058.78	$1,155.04	$1,681.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.19 / $1,245.63 / $1,585.35	Professional		$828.19	$1,245.63	$1,585.35
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 $1,132.44 / $1,585.42 / $2,314.02	Professional		$1,132.44	$1,585.42	$2,314.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,364.20 / $1,364.20 / $1,364.20	Facility		$1,364.20	$1,364.20	$1,364.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,189.07 / $1,588.69 / $2,292.10	Professional		$1,189.07	$1,588.69	$2,292.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $584.26 / $642.68 / $842.56	Professional		$584.26	$642.68	$842.56
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 $790.44 / $1,100.61 / $1,533.90	Professional		$790.44	$1,100.61	$1,533.90