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 / $17,682.00	Facility		$2,292.00	$7,645.00	$17,682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.47 / $2,160.80 / $2,513.53	Professional		$1,415.47	$2,160.80	$2,513.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.82 / $2,420.66 / $3,597.22	Professional		$2,001.82	$2,420.66	$3,597.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,099.21 / $20,467.30 / $48,770.55	Facility		$2,099.21	$20,467.30	$48,770.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,099.21 / $31,488.15 / $54,198.98	Professional		$2,099.21	$31,488.15	$54,198.98
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 $2,520.26 / $2,520.26 / $2,520.26	Facility		$2,520.26	$2,520.26	$2,520.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,539.69 / $3,539.69 / $10,495.89	Professional		$3,539.69	$3,539.69	$10,495.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,871.14 / $2,917.08 / $4,566.91	Professional		$1,871.14	$2,917.08	$4,566.91