Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.14 / $6,582.00 / $11,627.00	Facility		$1,561.14	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.60 / $1,617.14 / $3,182.19	Professional		$1,469.60	$1,617.14	$3,182.19
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 $1,224.82 / $1,713.52 / $2,793.43	Professional		$1,224.82	$1,713.52	$2,793.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.46 / $1,689.23 / $2,459.75	Facility		$1,548.46	$1,689.23	$2,459.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.98 / $1,821.72 / $2,318.55	Professional		$1,377.98	$1,821.72	$2,318.55
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 $1,656.11 / $2,316.46 / $3,279.33	Professional		$1,656.11	$2,316.46	$3,279.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $1,963.51	Facility		$1,963.51	$1,963.51	$1,963.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,738.92 / $2,318.56 / $3,195.22	Professional		$1,738.92	$2,318.56	$3,195.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $1,502.24 / $2,262.82	Professional		$206.37	$1,502.24	$2,262.82
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 $1,400.20 / $2,096.59 / $3,197.30	Professional		$1,400.20	$2,096.59	$3,197.30