Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $7,645.00 / $17,473.00	Facility		$2,292.00	$7,645.00	$17,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.36 / $2,085.71 / $4,404.71	Professional		$1,547.36	$2,085.71	$4,404.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,586.78 / $2,599.16	Professional		$1,220.59	$1,586.78	$2,599.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.30 / $33,574.49 / $59,499.41	Facility		$2,238.30	$33,574.49	$59,499.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,324.39 / $34,865.81 / $61,527.90	Professional		$2,324.39	$34,865.81	$61,527.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,416.65 / $3,416.65 / $10,127.93	Professional		$3,416.65	$3,416.65	$10,127.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.41 / $2,514.19 / $4,394.43	Professional		$1,477.41	$2,514.19	$4,394.43