Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.24 / $5,234.00 / $11,627.00	Facility		$1,289.24	$5,234.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.47 / $1,334.19 / $2,625.34	Professional		$1,213.47	$1,334.19	$2,625.34
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 $1,116.99 / $1,589.16 / $2,522.88	Professional		$1,116.99	$1,589.16	$2,522.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,280.05 / $1,396.42 / $2,033.38	Facility		$1,280.05	$1,396.42	$2,033.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,505.94 / $1,505.94 / $1,916.66	Professional		$1,505.94	$1,505.94	$1,916.66
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 $1,376.53 / $1,916.66 / $2,648.67	Professional		$1,376.53	$1,916.66	$2,648.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,621.57	Facility		$1,621.57	$1,621.57	$1,621.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,437.50 / $1,962.00 / $2,634.54	Professional		$1,437.50	$1,962.00	$2,634.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $1,078.06 / $1,773.91	Professional		$168.32	$1,078.06	$1,773.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.32 / $1,785.76 / $2,614.52	Professional		$1,146.32	$1,785.76	$2,614.52