Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.75 / $5,201.00 / $11,627.00	Facility		$1,870.75	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,307.49 / $3,808.87	Professional		$1,055.19	$1,307.49	$3,808.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.73 / $1,155.91 / $2,057.61	Professional		$820.73	$1,155.91	$2,057.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.70 / $1,832.45 / $2,242.05	Facility		$1,494.70	$1,832.45	$2,242.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,002.67 / $1,437.21 / $2,242.05	Professional		$1,002.67	$1,437.21	$2,242.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.85 / $1,469.12 / $21,571.00	Facility		$1,414.85	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.43 / $1,573.62 / $2,644.48	Professional		$1,051.43	$1,573.62	$2,644.48
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 $1,044.76 / $1,609.68 / $2,467.12	Professional		$1,044.76	$1,609.68	$2,467.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $897.46 / $1,531.64	Professional		$112.96	$897.46	$1,531.64
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 $993.93 / $1,349.64 / $2,689.46	Professional		$993.93	$1,349.64	$2,689.46