Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $6,756.00 / $14,500.00	Facility		$2,163.00	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.99 / $1,813.13 / $3,602.56	Professional		$1,610.99	$1,813.13	$3,602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.52 / $1,906.57 / $3,032.74	Professional		$1,399.52	$1,906.57	$3,032.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,653.97 / $1,804.33 / $2,627.35	Facility		$1,653.97	$1,804.33	$2,627.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,803.24 / $1,945.85 / $2,476.53	Professional		$1,803.24	$1,945.85	$2,476.53
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 $1,803.41 / $2,476.52 / $3,500.56	Professional		$1,803.41	$2,476.52	$3,500.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,857.39 / $2,564.96 / $3,408.69	Professional		$1,857.39	$2,564.96	$3,408.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,271.10 / $2,178.65	Professional		$216.68	$1,271.10	$2,178.65
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 $1,437.86 / $2,267.39 / $3,777.04	Professional		$1,437.86	$2,267.39	$3,777.04