Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,154.51 / $8,956.00 / $11,627.00	Facility		$3,154.51	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,721.30 / $3,154.51 / $5,800.89	Professional		$2,721.30	$3,154.51	$5,800.89
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 $2,643.50 / $3,936.89 / $6,488.66	Professional		$2,643.50	$3,936.89	$6,488.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,884.34 / $3,701.83 / $4,581.81	Facility		$2,884.34	$3,701.83	$4,581.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,393.35 / $4,318.80 / $127,498.73	Professional		$3,393.35	$4,318.80	$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 $3,229.27 / $4,318.80 / $6,130.00	Professional		$3,229.27	$4,318.80	$6,130.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,239.10 / $4,318.80 / $6,465.76	Professional		$3,239.10	$4,318.80	$6,465.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $2,276.85 / $3,852.44	Professional		$363.83	$2,276.85	$3,852.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,267.00 / $15,869.00	Facility		$5,351.00	$11,267.00	$15,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,632.64 / $3,952.40 / $6,589.74	Professional		$2,632.64	$3,952.40	$6,589.74