Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.17 / $6,251.00 / $11,581.00	Facility		$1,816.17	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.80 / $1,382.80 / $2,790.09	Professional		$1,195.80	$1,382.80	$2,790.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,897.00 / $8,800.00	Facility		$1,152.00	$2,897.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.36 / $1,446.29 / $2,353.80	Professional		$1,030.36	$1,446.29	$2,353.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.60 / $1,371.94 / $1,997.72	Facility		$1,257.60	$1,371.94	$1,997.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,374.55 / $1,479.53 / $1,883.04	Professional		$1,374.55	$1,479.53	$1,883.04
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 $1,395.19 / $1,873.69 / $2,599.67	Professional		$1,395.19	$1,873.69	$2,599.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,612.82 / $1,612.82 / $1,612.82	Facility		$1,612.82	$1,612.82	$1,612.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,412.28 / $1,883.04 / $2,599.67	Professional		$1,412.28	$1,883.04	$2,599.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $991.62 / $1,708.82	Professional		$144.74	$991.62	$1,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.80 / $1,681.06 / $2,832.33	Professional		$1,103.80	$1,681.06	$2,832.33