Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,020.00 / $10,780.00	Facility		$2,800.00	$6,020.00	$10,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $2,800.00 / $3,325.00	Professional		$2,450.00	$2,800.00	$3,325.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.50 / $3,780.00 / $6,193.95	Facility		$3,090.50	$3,780.00	$6,193.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $928.00 / $4,550.00	Professional		$239.16	$928.00	$4,550.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $10,237.50 / $81,900.00	Facility		$3,500.00	$10,237.50	$81,900.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,658.69 / $8,400.00 / $82,320.50	Professional		$3,658.69	$8,400.00	$82,320.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.33 / $3,981.25 / $19,974.50	Facility		$3,601.33	$3,981.25	$19,974.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $4,585.00 / $18,024.24	Professional		$2,047.50	$4,585.00	$18,024.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,601.33 / $3,981.25 / $19,974.50	Facility		$3,601.33	$3,981.25	$19,974.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,047.50 / $2,047.50	Professional		$2,047.50	$2,047.50	$2,047.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,756.25 / $3,150.00 / $4,331.25	Professional		$2,756.25	$3,150.00	$4,331.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $4,622.45	Professional		$1,470.00	$2,100.00	$4,622.45