Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.69 / $5,355.00 / $10,817.74	Facility		$1,577.69	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.61 / $1,235.16 / $2,392.84	Professional		$1,079.61	$1,235.16	$2,392.84
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 $981.42 / $1,333.35 / $2,118.90	Professional		$981.42	$1,333.35	$2,118.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.33 / $1,224.36 / $1,782.85	Facility		$1,122.33	$1,224.36	$1,782.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.19 / $1,320.40 / $1,680.50	Professional		$1,260.19	$1,320.40	$1,680.50
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 $1,206.32 / $1,681.63 / $2,369.83	Professional		$1,206.32	$1,681.63	$2,369.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,432.52	Facility		$1,432.52	$1,432.52	$1,432.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,260.38 / $1,740.53 / $2,369.83	Professional		$1,260.38	$1,740.53	$2,369.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $962.94 / $1,547.33	Professional		$144.50	$962.94	$1,547.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.30 / $1,599.98 / $2,468.19	Professional		$1,019.30	$1,599.98	$2,468.19