Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,182.21 / $6,984.00 / $11,581.00	Facility		$2,182.21	$6,984.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.18 / $1,395.61 / $4,460.39	Professional		$1,363.18	$1,395.61	$4,460.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.54 / $1,603.54 / $2,637.32	Professional		$1,072.54	$1,603.54	$2,637.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.10 / $1,260.10 / $1,834.89	Facility		$1,260.10	$1,260.10	$1,834.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,332.97 / $1,358.94 / $1,358.94	Professional		$1,332.97	$1,358.94	$1,358.94
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 $1,358.94 / $1,778.95 / $2,485.04	Professional		$1,358.94	$1,778.95	$2,485.04
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 $1,420.71 / $1,824.31 / $2,477.66	Professional		$1,420.71	$1,824.31	$2,477.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,161.27 / $1,530.30 / $2,022.41	Professional		$1,161.27	$1,530.30	$2,022.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $11,918.00 / $20,348.00	Facility		$4,524.00	$11,918.00	$20,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.49 / $1,687.58 / $2,555.10	Professional		$1,271.49	$1,687.58	$2,555.10