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 $1,177.99 / $1,337.71 / $3,500.60	Professional		$1,177.99	$1,337.71	$3,500.60
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 $1,071.08 / $1,464.71 / $2,325.94	Professional		$1,071.08	$1,464.71	$2,325.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.46 / $1,325.95 / $1,930.77	Facility		$1,215.46	$1,325.95	$1,930.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,373.60 / $1,429.95 / $1,819.93	Professional		$1,373.60	$1,429.95	$1,819.93
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 $1,299.95 / $1,820.42 / $2,564.92	Professional		$1,299.95	$1,820.42	$2,564.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,551.17	Facility		$1,551.17	$1,551.17	$1,551.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,364.95 / $1,884.93 / $2,499.35	Professional		$1,364.95	$1,884.93	$2,499.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $1,032.11 / $1,668.11	Professional		$143.34	$1,032.11	$1,668.11
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 $1,088.94 / $1,720.18 / $2,684.68	Professional		$1,088.94	$1,720.18	$2,684.68