Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.26 / $5,165.00 / $11,627.00	Facility		$1,307.26	$5,165.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.80 / $1,350.60 / $2,602.71	Professional		$1,232.80	$1,350.60	$2,602.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $7,946.96 / $14,996.00	Facility		$3,315.00	$7,946.96	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.81 / $1,545.25 / $2,448.44	Professional		$1,073.81	$1,545.25	$2,448.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,297.65 / $1,415.62 / $2,061.33	Facility		$1,297.65	$1,415.62	$2,061.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,282.89 / $1,526.65 / $1,943.00	Professional		$1,282.89	$1,526.65	$1,943.00
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 $1,387.86 / $1,943.00 / $2,723.21	Professional		$1,387.86	$1,943.00	$2,723.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,415.50 / $1,958.74 / $2,671.36	Professional		$1,415.50	$1,958.74	$2,671.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $1,123.36 / $1,808.91	Professional		$169.02	$1,123.36	$1,808.91
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 $1,143.80 / $1,743.96 / $2,761.27	Professional		$1,143.80	$1,743.96	$2,761.27