Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.21 / $6,582.00 / $11,627.00	Facility		$1,454.21	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.48 / $1,548.53 / $2,883.62	Professional		$1,383.48	$1,548.53	$2,883.62
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 $1,236.75 / $1,718.77 / $2,718.02	Professional		$1,236.75	$1,718.77	$2,718.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,442.67 / $1,573.82 / $2,291.69	Facility		$1,442.67	$1,573.82	$2,291.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,697.26 / $1,697.26 / $2,160.14	Professional		$1,697.26	$1,697.26	$2,160.14
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 $1,556.82 / $2,160.14 / $3,052.46	Professional		$1,556.82	$2,160.14	$3,052.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $1,829.03 / $1,829.03	Facility		$1,829.03	$1,829.03	$1,829.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,620.10 / $2,237.29 / $2,971.66	Professional		$1,620.10	$2,237.29	$2,971.66
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 $1,480.00 / $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 $1,325.50 / $2,008.70 / $2,970.66	Professional		$1,325.50	$2,008.70	$2,970.66