Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,616.00 / $10,817.74	Facility		$1,610.00	$5,616.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.70 / $1,367.19 / $2,710.08	Professional		$1,155.70	$1,367.19	$2,710.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.73 / $1,546.30 / $2,490.13	Professional		$1,101.73	$1,546.30	$2,490.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.91 / $1,322.09 / $1,925.13	Facility		$1,211.91	$1,322.09	$1,925.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,337.04 / $1,425.78 / $1,814.62	Professional		$1,337.04	$1,425.78	$1,814.62
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 $1,360.97 / $1,841.51 / $2,685.31	Professional		$1,360.97	$1,841.51	$2,685.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,562.12 / $1,562.12 / $1,562.12	Facility		$1,562.12	$1,562.12	$1,562.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,360.97 / $1,863.86 / $2,708.09	Professional		$1,360.97	$1,863.86	$2,708.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $953.88 / $1,611.08	Professional		$144.74	$953.88	$1,611.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.43 / $1,624.55 / $2,742.47	Professional		$1,070.43	$1,624.55	$2,742.47