Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,251.00 / $11,581.00	Facility		$2,264.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.65 / $1,738.99 / $3,439.92	Professional		$1,470.65	$1,738.99	$3,439.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.82 / $1,621.87 / $2,716.99	Professional		$1,148.82	$1,621.87	$2,716.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,587.74 / $1,732.08 / $2,522.15	Facility		$1,587.74	$1,732.08	$2,522.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,375.27 / $1,867.93 / $2,377.37	Professional		$1,375.27	$1,867.93	$2,377.37
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 $1,626.90 / $2,223.51 / $3,237.31	Professional		$1,626.90	$2,223.51	$3,237.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,715.07 / $2,292.46 / $3,237.31	Professional		$1,715.07	$2,292.46	$3,237.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $1,237.60 / $2,132.17	Professional		$180.10	$1,237.60	$2,132.17
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 $1,360.40 / $1,999.35 / $3,529.27	Professional		$1,360.40	$1,999.35	$3,529.27