Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.16 / $6,251.00 / $11,581.00	Facility		$1,856.16	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.71 / $1,393.72 / $2,735.33	Professional		$1,370.71	$1,393.72	$2,735.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.43 / $1,477.74 / $2,390.94	Professional		$1,004.43	$1,477.74	$2,390.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,300.72 / $1,560.86 / $1,931.91	Facility		$1,300.72	$1,560.86	$1,931.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,048.30 / $1,430.79 / $1,430.79	Professional		$1,048.30	$1,430.79	$1,430.79
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 $1,032.85 / $1,690.93 / $2,779.12	Professional		$1,032.85	$1,690.93	$2,779.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,775.02 / $2,775.02 / $2,775.02	Facility		$2,775.02	$2,775.02	$2,775.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,165.43 / $1,808.32 / $2,775.11	Professional		$1,165.43	$1,808.32	$2,775.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $1,134.02 / $1,858.72	Professional		$152.27	$1,134.02	$1,858.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.48 / $1,617.90 / $2,936.90	Professional		$1,075.48	$1,617.90	$2,936.90