Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,355.00 / $10,817.74	Facility		$1,610.00	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.91 / $1,291.01 / $2,470.96	Professional		$1,130.91	$1,291.01	$2,470.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.54 / $1,445.21 / $2,275.10	Professional		$1,019.54	$1,445.21	$2,275.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,173.71 / $1,280.41 / $1,864.44	Facility		$1,173.71	$1,280.41	$1,864.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,313.84 / $1,380.83 / $1,757.42	Professional		$1,313.84	$1,380.83	$1,757.42
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 $1,255.30 / $1,757.41 / $2,480.60	Professional		$1,255.30	$1,757.41	$2,480.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,498.38	Facility		$1,498.38	$1,498.38	$1,498.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,318.06 / $1,820.18 / $2,462.12	Professional		$1,318.06	$1,820.18	$2,462.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $985.84 / $1,605.04	Professional		$142.18	$985.84	$1,605.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.09 / $1,694.66 / $2,696.21	Professional		$1,067.09	$1,694.66	$2,696.21