Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.50 / $9,285.00 / $12,672.00	Facility		$1,905.50	$9,285.00	$12,672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.17 / $1,151.50 / $3,328.74	Professional		$1,107.17	$1,151.50	$3,328.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $9,287.00 / $36,529.00	Facility		$2,097.00	$9,287.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.21 / $1,206.64 / $1,957.20	Professional		$924.21	$1,206.64	$1,957.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.68 / $1,040.68 / $1,515.37	Facility		$1,040.68	$1,040.68	$1,515.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,055.56 / $1,122.30 / $1,122.30	Professional		$1,055.56	$1,122.30	$1,122.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.40 / $1,438.15 / $2,025.17	Professional		$1,081.40	$1,438.15	$2,025.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $19,503.00 / $21,036.00	Facility		$9,046.00	$19,503.00	$21,036.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,122.30 / $1,478.48 / $2,005.51	Professional		$1,122.30	$1,478.48	$2,005.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $929.23 / $1,426.57	Professional		$76.13	$929.23	$1,426.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.35 / $1,326.07 / $2,095.31	Professional		$1,045.35	$1,326.07	$2,095.31