Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.01 / $4,899.00 / $11,627.00	Facility		$1,343.01	$4,899.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.54 / $1,370.21 / $2,547.67	Professional		$1,177.54	$1,370.21	$2,547.67
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 $1,112.96 / $1,461.89 / $2,384.48	Professional		$1,112.96	$1,461.89	$2,384.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.20 / $1,340.94 / $1,952.60	Facility		$1,229.20	$1,340.94	$1,952.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,327.38 / $1,446.12 / $1,840.51	Professional		$1,327.38	$1,446.12	$1,840.51
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 $1,373.75 / $1,840.51 / $2,601.89	Professional		$1,373.75	$1,840.51	$2,601.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility		$1,568.44	$1,568.44	$1,568.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,884.00 / $2,601.89	Professional		$1,380.38	$1,884.00	$2,601.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $949.62 / $1,640.82	Professional		$144.74	$949.62	$1,640.82
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 $1,076.58 / $1,674.88 / $2,590.82	Professional		$1,076.58	$1,674.88	$2,590.82