Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.78 / $6,251.00 / $11,581.00	Facility		$1,974.78	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,328.03 / $3,890.96	Professional		$1,054.29	$1,328.03	$3,890.96
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 $887.38 / $1,211.01 / $2,137.14	Professional		$887.38	$1,211.01	$2,137.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,578.10 / $1,934.69 / $2,527.50	Facility		$1,578.10	$1,934.69	$2,527.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,095.35 / $1,517.40 / $2,367.15	Professional		$1,095.35	$1,517.40	$2,367.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.01 / $1,862.06 / $21,571.00	Facility		$1,495.01	$1,862.06	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.20 / $1,578.10 / $2,625.78	Professional		$1,110.20	$1,578.10	$2,625.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,862.06 / $1,862.06 / $2,076.42	Facility		$1,862.06	$1,862.06	$2,076.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,057.85 / $1,653.46 / $2,302.98	Professional		$1,057.85	$1,653.46	$2,302.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $956.45 / $1,619.40	Professional		$112.96	$956.45	$1,619.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,787.46 / $4,494.00 / $7,778.00	Facility		$2,787.46	$4,494.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.04 / $1,346.68 / $2,826.35	Professional		$1,074.04	$1,346.68	$2,826.35