Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $7,155.00 / $17,682.00	Facility		$2,163.00	$7,155.00	$17,682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.48 / $1,943.35 / $3,861.51	Professional		$1,728.48	$1,943.35	$3,861.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,541.00 / $41,639.47 / $76,926.81	Facility		$3,541.00	$41,639.47	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,477.86 / $2,037.79 / $3,197.39	Professional		$1,477.86	$2,037.79	$3,197.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,773.68 / $1,934.93 / $2,817.52	Facility		$1,773.68	$1,934.93	$2,817.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,948.03 / $2,086.69 / $2,655.79	Professional		$1,948.03	$2,086.69	$2,655.79
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 $1,933.58 / $2,655.79 / $3,754.56	Professional		$1,933.58	$2,655.79	$3,754.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,991.84 / $2,750.64 / $3,653.50	Professional		$1,991.84	$2,750.64	$3,653.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,384.69 / $2,368.99	Professional		$216.68	$1,384.69	$2,368.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.64 / $2,421.85 / $3,861.77	Professional		$1,595.64	$2,421.85	$3,861.77