Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.32 / $5,135.00 / $11,627.00	Facility		$1,097.32	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.68 / $1,207.05 / $2,253.27	Professional		$1,066.68	$1,207.05	$2,253.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $15,258.77 / $26,788.67	Facility		$4,142.00	$15,258.77	$26,788.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.21 / $1,356.99 / $2,131.94	Professional		$961.21	$1,356.99	$2,131.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.94 / $1,186.84 / $1,728.22	Facility		$1,087.94	$1,186.84	$1,728.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,092.68 / $1,279.94 / $1,629.01	Professional		$1,092.68	$1,279.94	$1,629.01
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 $1,163.58 / $1,629.01 / $2,242.35	Professional		$1,163.58	$1,629.01	$2,242.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,221.76 / $1,636.34 / $2,258.46	Professional		$1,221.76	$1,636.34	$2,258.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $1,061.76 / $1,602.16	Professional		$134.43	$1,061.76	$1,602.16
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 $1,011.62 / $1,560.08 / $2,340.28	Professional		$1,011.62	$1,560.08	$2,340.28