Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.78 / $5,635.00 / $11,627.00	Facility		$1,573.78	$5,635.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.07 / $1,590.29 / $3,169.03	Professional		$1,380.07	$1,590.29	$3,169.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $41,878.69 / $76,926.81	Facility		$3,405.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.31 / $1,826.23 / $2,915.40	Professional		$1,307.31	$1,826.23	$2,915.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,439.93 / $1,570.84 / $2,287.36	Facility		$1,439.93	$1,570.84	$2,287.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,694.04 / $1,694.04 / $2,156.06	Professional		$1,694.04	$1,694.04	$2,156.06
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 $1,608.91 / $2,156.06 / $3,064.90	Professional		$1,608.91	$2,156.06	$3,064.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,617.04 / $2,229.38 / $3,064.90	Professional		$1,617.04	$2,229.38	$3,064.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $1,119.54 / $1,945.71	Professional		$180.10	$1,119.54	$1,945.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.80 / $1,971.60 / $3,192.01	Professional		$1,305.80	$1,971.60	$3,192.01