Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.96 / $6,797.57 / $14,500.00	Facility		$2,262.96	$6,797.57	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,694.62 / $2,010.44 / $3,997.57	Professional		$1,694.62	$2,010.44	$3,997.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $41,878.69 / $76,926.81	Facility		$7,084.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.25 / $1,755.18 / $2,918.71	Professional		$1,243.25	$1,755.18	$2,918.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,834.61 / $2,001.40 / $2,914.30	Facility		$1,834.61	$2,001.40	$2,914.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,627.55 / $2,158.37 / $2,747.01	Professional		$1,627.55	$2,158.37	$2,747.01
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 $1,911.79 / $2,595.29 / $3,779.63	Professional		$1,911.79	$2,595.29	$3,779.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,326.28 / $2,326.28 / $2,326.28	Facility		$2,326.28	$2,326.28	$2,326.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,962.15 / $2,648.91 / $3,754.08	Professional		$1,962.15	$2,648.91	$3,754.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,434.86 / $2,480.53	Professional		$216.68	$1,434.86	$2,480.53
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 $1,576.52 / $2,477.83 / $4,119.38	Professional		$1,576.52	$2,477.83	$4,119.38