Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.63 / $6,582.00 / $11,627.00	Facility		$1,703.63	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.60 / $1,767.08 / $3,399.10	Professional		$1,604.60	$1,767.08	$3,399.10
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 $1,402.50 / $1,920.02 / $3,051.05	Professional		$1,402.50	$1,920.02	$3,051.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,688.49 / $1,841.99 / $2,682.19	Facility		$1,688.49	$1,841.99	$2,682.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,694.30 / $1,986.46 / $2,528.21	Professional		$1,694.30	$1,986.46	$2,528.21
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 $1,822.46 / $2,528.21 / $3,589.95	Professional		$1,822.46	$2,528.21	$3,589.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,142.73 / $2,142.73 / $2,142.73	Facility		$2,142.73	$2,142.73	$2,142.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,896.16 / $2,618.51 / $3,481.34	Professional		$1,896.16	$2,618.51	$3,481.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $1,422.56 / $2,326.68	Professional		$202.19	$1,422.56	$2,326.68
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 $1,497.27 / $2,351.53 / $3,534.58	Professional		$1,497.27	$2,351.53	$3,534.58