Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,807.45 / $9,496.00 / $13,078.00	Facility		$3,807.45	$9,496.00	$13,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,445.49 / $3,842.97 / $7,014.06	Professional		$3,445.49	$3,842.97	$7,014.06
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 $3,329.08 / $4,727.47 / $7,663.36	Professional		$3,329.08	$4,727.47	$7,663.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,480.48 / $4,466.92 / $5,932.62	Facility		$3,480.48	$4,466.92	$5,932.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,094.67 / $5,211.39 / $127,498.73	Professional		$4,094.67	$5,211.39	$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 $3,902.00 / $5,397.52 / $7,785.69	Professional		$3,902.00	$5,397.52	$7,785.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,908.55 / $5,517.50 / $7,817.98	Professional		$3,908.55	$5,517.50	$7,817.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.03 / $2,745.18 / $4,637.31	Professional		$401.03	$2,745.18	$4,637.31
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 $3,182.57 / $5,025.28 / $8,113.37	Professional		$3,182.57	$5,025.28	$8,113.37