Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.73 / $5,886.00 / $11,627.00	Facility		$1,453.73	$5,886.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.16 / $1,505.00 / $2,911.66	Professional		$1,369.16	$1,505.00	$2,911.66
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 $1,216.21 / $1,634.95 / $2,647.10	Professional		$1,216.21	$1,634.95	$2,647.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,442.16 / $1,573.26 / $2,290.87	Facility		$1,442.16	$1,573.26	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,551.18 / $1,696.65 / $2,159.37	Professional		$1,551.18	$1,696.65	$2,159.37
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 $1,542.41 / $2,159.37 / $3,056.30	Professional		$1,542.41	$2,159.37	$3,056.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,828.45 / $1,828.45 / $1,828.45	Facility		$1,828.45	$1,828.45	$1,828.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,619.53 / $2,187.88 / $2,971.34	Professional		$1,619.53	$2,187.88	$2,971.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $1,218.98 / $1,996.72	Professional		$169.02	$1,218.98	$1,996.72
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 $1,263.17 / $1,971.61 / $3,004.97	Professional		$1,263.17	$1,971.61	$3,004.97