Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.69 / $7,155.00 / $11,627.00	Facility		$1,987.69	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.14 / $2,004.46 / $3,651.73	Professional		$1,757.14	$2,004.46	$3,651.73
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 $2,002.00 / $2,765.26 / $4,633.07	Professional		$2,002.00	$2,765.26	$4,633.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,817.48 / $1,982.70 / $2,887.08	Facility		$1,817.48	$1,982.70	$2,887.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,138.19 / $2,138.19 / $2,721.35	Professional		$2,138.19	$2,138.19	$2,721.35
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 $2,032.90 / $2,938.57 / $4,212.76	Professional		$2,032.90	$2,938.57	$4,212.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,041.01 / $2,983.76 / $4,338.22	Professional		$2,041.01	$2,983.76	$4,338.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,413.35 / $2,455.22	Professional		$216.68	$1,413.35	$2,455.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.64 / $2,687.78 / $4,175.47	Professional		$1,696.64	$2,687.78	$4,175.47