Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $6,582.00 / $11,627.00	Facility		$1,305.00	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.14 / $1,425.35 / $2,865.27	Professional		$1,292.14	$1,425.35	$2,865.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.89 / $1,611.88 / $2,563.21	Professional		$1,188.89	$1,611.88	$2,563.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,298.00 / $1,416.00 / $2,061.91	Facility		$1,298.00	$1,416.00	$2,061.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,527.06 / $1,527.06 / $1,943.54	Professional		$1,527.06	$1,527.06	$1,943.54
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 $1,418.81 / $2,027.71 / $2,863.52	Professional		$1,418.81	$2,027.71	$2,863.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Facility		$1,657.43	$1,657.43	$1,657.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,457.65 / $2,085.16 / $2,769.14	Professional		$1,457.65	$2,085.16	$2,769.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $1,276.61 / $1,909.10	Professional		$206.37	$1,276.61	$1,909.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,111.00	Facility		$1,771.00	$3,098.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.90 / $1,930.73 / $3,148.46	Professional		$1,243.90	$1,930.73	$3,148.46