Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,597.00 / $10,817.74	Facility		$1,610.00	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.08 / $1,392.50 / $2,738.82	Professional		$1,228.08	$1,392.50	$2,738.82
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 $1,120.11 / $1,579.19 / $2,501.12	Professional		$1,120.11	$1,579.19	$2,501.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,265.97 / $1,381.06 / $2,011.01	Facility		$1,265.97	$1,381.06	$2,011.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,487.41 / $1,489.38 / $1,895.57	Professional		$1,487.41	$1,489.38	$1,895.57
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 $1,375.92 / $1,910.38 / $2,880.86	Professional		$1,375.92	$1,910.38	$2,880.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,616.23	Facility		$1,616.23	$1,616.23	$1,616.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,421.68 / $1,963.27 / $2,839.06	Professional		$1,421.68	$1,963.27	$2,839.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $1,102.50 / $1,787.07	Professional		$144.50	$1,102.50	$1,787.07
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 $1,150.74 / $1,813.11 / $2,831.71	Professional		$1,150.74	$1,813.11	$2,831.71