Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.42 / $6,582.00 / $11,627.00	Facility		$1,687.42	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.47 / $1,797.26 / $3,418.81	Professional		$1,590.47	$1,797.26	$3,418.81
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 $1,376.71 / $1,896.73 / $2,987.20	Professional		$1,376.71	$1,896.73	$2,987.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,673.06 / $1,825.15 / $2,657.68	Facility		$1,673.06	$1,825.15	$2,657.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.19 / $1,968.31 / $2,505.12	Professional		$1,698.19	$1,968.31	$2,505.12
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 $1,802.95 / $2,505.12 / $3,448.21	Professional		$1,802.95	$2,505.12	$3,448.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,824.74 / $2,585.77 / $3,448.21	Professional		$1,824.74	$2,585.77	$3,448.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $1,421.79 / $2,290.10	Professional		$202.19	$1,421.79	$2,290.10
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 $1,477.26 / $2,317.87 / $3,811.44	Professional		$1,477.26	$2,317.87	$3,811.44