Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.32 / $6,251.00 / $11,581.00	Facility		$2,017.32	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.20 / $1,371.38 / $2,730.74	Professional		$1,190.20	$1,371.38	$2,730.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.27 / $1,443.84 / $2,391.16	Professional		$1,075.27	$1,443.84	$2,391.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.58 / $1,354.45 / $1,972.26	Facility		$1,241.58	$1,354.45	$1,972.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,414.59 / $1,460.68 / $1,859.05	Professional		$1,414.59	$1,460.68	$1,859.05
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 $1,386.68 / $1,868.28 / $2,612.67	Professional		$1,386.68	$1,868.28	$2,612.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,394.29 / $1,925.44 / $2,589.48	Professional		$1,394.29	$1,925.44	$2,589.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $982.37 / $1,646.14	Professional		$144.74	$982.37	$1,646.14
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 $1,109.50 / $1,723.72 / $2,810.72	Professional		$1,109.50	$1,723.72	$2,810.72