Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.35 / $6,582.00 / $11,627.00	Facility		$1,108.35	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.99 / $1,191.61 / $2,425.86	Professional		$1,061.99	$1,191.61	$2,425.86
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 $1,002.46 / $1,459.02 / $2,285.10	Professional		$1,002.46	$1,459.02	$2,285.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.71 / $1,202.95 / $1,751.67	Facility		$1,102.71	$1,202.95	$1,751.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,297.31 / $1,297.31 / $1,651.12	Professional		$1,297.31	$1,297.31	$1,651.12
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 $1,198.48 / $1,710.08 / $2,325.52	Professional		$1,198.48	$1,710.08	$2,325.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,407.20	Facility		$1,407.20	$1,407.20	$1,407.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,238.33 / $1,733.67 / $2,308.41	Professional		$1,238.33	$1,733.67	$2,308.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $935.36 / $1,526.42	Professional		$135.99	$935.36	$1,526.42
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 $1,001.24 / $1,560.37 / $2,430.48	Professional		$1,001.24	$1,560.37	$2,430.48