Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,654.79 / $8,553.00 / $11,627.00	Facility		$2,654.79	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,288.36 / $2,654.79 / $4,876.55	Professional		$2,288.36	$2,654.79	$4,876.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $41,878.69 / $76,926.81	Facility		$6,813.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,039.65 / $2,986.40 / $4,767.47	Professional		$2,039.65	$2,986.40	$4,767.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,427.29 / $3,115.24 / $4,137.42	Facility		$2,427.29	$3,115.24	$4,137.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,855.63 / $3,634.44 / $127,498.73	Professional		$2,855.63	$3,634.44	$127,498.73
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,659.80 / $3,511.71 / $5,011.95	Professional		$2,659.80	$3,511.71	$5,011.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,101.70	Facility		$3,101.70	$3,101.70	$3,101.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,719.96 / $3,528.47 / $5,011.95	Professional		$2,719.96	$3,528.47	$5,011.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,921.45 / $3,256.40	Professional		$288.88	$1,921.45	$3,256.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,152.92 / $3,338.44 / $5,624.88	Professional		$2,152.92	$3,338.44	$5,624.88