Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.33 / $7,002.00 / $11,627.00	Facility		$1,991.33	$7,002.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.96 / $2,007.99 / $3,657.36	Professional		$1,821.96	$2,007.99	$3,657.36
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 $2,103.46 / $2,855.52 / $4,803.68	Professional		$2,103.46	$2,855.52	$4,803.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,821.05 / $2,337.17 / $2,892.77	Facility		$1,821.05	$2,337.17	$2,892.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,142.42 / $2,726.71 / $127,498.73	Professional		$2,142.42	$2,726.71	$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 $2,036.39 / $2,987.16 / $4,272.02	Professional		$2,036.39	$2,987.16	$4,272.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,326.54 / $2,326.54 / $2,326.54	Facility		$2,326.54	$2,326.54	$2,326.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,045.03 / $2,989.64 / $4,393.37	Professional		$2,045.03	$2,989.64	$4,393.37
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 $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.50 / $2,729.25 / $4,267.43	Professional		$1,805.50	$2,729.25	$4,267.43