Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,229.79 / $8,037.00 / $11,754.00	Facility		$2,229.79	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.45 / $1,499.52 / $4,552.18	Professional		$1,230.45	$1,499.52	$4,552.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,831.00 / $4,011.00 / $14,996.00	Facility		$1,831.00	$4,011.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.04 / $1,451.76 / $2,584.28	Professional		$1,073.04	$1,451.76	$2,584.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,792.58 / $2,197.64 / $2,688.87	Facility		$1,792.58	$2,197.64	$2,688.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.60 / $1,723.64 / $2,688.87	Professional		$1,119.60	$1,723.64	$2,688.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,638.24 / $21,571.00	Facility		$1,469.12	$1,638.24	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.22 / $1,861.56 / $2,975.82	Professional		$1,251.22	$1,861.56	$2,975.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,219.86 / $1,862.79 / $2,679.68	Professional		$1,219.86	$1,862.79	$2,679.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $1,059.28 / $1,818.30	Professional		$152.74	$1,059.28	$1,818.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.75 / $1,649.08 / $3,135.78	Professional		$1,244.75	$1,649.08	$3,135.78