Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.03 / $6,085.00 / $11,627.00	Facility		$1,520.03	$6,085.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.03 / $1,569.12 / $2,901.82	Professional		$1,433.03	$1,569.12	$2,901.82
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 $1,201.78 / $1,686.97 / $2,680.32	Professional		$1,201.78	$1,686.97	$2,680.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.90 / $1,644.98 / $2,395.32	Facility		$1,507.90	$1,644.98	$2,395.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,409.43 / $1,774.00 / $2,257.82	Professional		$1,409.43	$1,774.00	$2,257.82
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 $1,616.88 / $2,257.82 / $3,106.15	Professional		$1,616.88	$2,257.82	$3,106.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $1,911.67	Facility		$1,911.67	$1,911.67	$1,911.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,644.85 / $2,260.81 / $3,106.15	Professional		$1,644.85	$2,260.81	$3,106.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.03 / $1,289.04 / $2,090.52	Professional		$178.03	$1,289.04	$2,090.52
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 $1,293.00 / $2,006.39 / $3,421.22	Professional		$1,293.00	$2,006.39	$3,421.22