Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.42 / $6,251.00 / $11,581.00	Facility		$1,877.42	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.45 / $1,369.04 / $4,020.25	Professional		$1,089.45	$1,369.04	$4,020.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.88 / $1,259.47 / $2,222.66	Professional		$922.88	$1,259.47	$2,222.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.86 / $1,993.25 / $2,438.79	Facility		$1,625.86	$1,993.25	$2,438.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.12 / $1,563.33 / $2,438.79	Professional		$1,005.12	$1,563.33	$2,438.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,541.24 / $21,571.00	Facility		$1,469.12	$1,541.24	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.57 / $1,625.86 / $2,705.77	Professional		$1,144.57	$1,625.86	$2,705.77
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 $1,092.08 / $1,704.32 / $2,307.48	Professional		$1,092.08	$1,704.32	$2,307.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $970.49 / $1,627.73	Professional		$152.74	$970.49	$1,627.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,513.00 / $7,853.00	Facility		$2,155.00	$5,513.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.49 / $1,360.70 / $2,784.29	Professional		$1,077.49	$1,360.70	$2,784.29