Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.96 / $5,217.00 / $11,627.00	Facility		$1,745.96	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.77 / $1,335.63 / $2,663.41	Professional		$1,158.77	$1,335.63	$2,663.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.06 / $1,485.26 / $2,320.88	Professional		$1,052.06	$1,485.26	$2,320.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.09 / $1,317.92 / $1,919.08	Facility		$1,208.09	$1,317.92	$1,919.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.06 / $1,421.29 / $1,808.91	Professional		$1,090.06	$1,421.29	$1,808.91
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 $1,289.49 / $1,792.84 / $2,512.17	Professional		$1,289.49	$1,792.84	$2,512.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,554.29 / $1,554.29 / $1,554.29	Facility		$1,554.29	$1,554.29	$1,554.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,327.84 / $1,808.92 / $2,512.17	Professional		$1,327.84	$1,808.92	$2,512.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $954.80 / $1,629.17	Professional		$144.74	$954.80	$1,629.17
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 $1,054.60 / $1,620.77 / $2,647.93	Professional		$1,054.60	$1,620.77	$2,647.93