Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $2,989.00 / $10,635.00	Facility		$1,190.00	$2,989.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.83 / $1,247.71 / $2,536.51	Professional		$1,066.83	$1,247.71	$2,536.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.00 / $4,142.00 / $19,117.00	Facility		$1,861.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.06 / $1,460.55 / $2,274.75	Professional		$1,040.06	$1,460.55	$2,274.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,151.54 / $1,256.22 / $1,829.24	Facility		$1,151.54	$1,256.22	$1,829.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.17 / $1,354.75 / $1,724.23	Professional		$1,300.17	$1,354.75	$1,724.23
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 $1,239.75 / $1,711.13 / $2,372.91	Professional		$1,239.75	$1,711.13	$2,372.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Facility		$1,470.59	$1,470.59	$1,470.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,724.22 / $2,372.91	Professional		$1,293.17	$1,724.22	$2,372.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $997.29 / $1,594.08	Professional		$144.50	$997.29	$1,594.08
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 $1,024.42 / $1,631.83 / $2,426.38	Professional		$1,024.42	$1,631.83	$2,426.38