Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,358.90 / $7,342.00 / $11,627.00	Facility		$2,358.90	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.10 / $2,416.19 / $4,777.72	Professional		$2,102.10	$2,416.19	$4,777.72
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 $2,074.34 / $2,788.45 / $4,431.76	Professional		$2,074.34	$2,788.45	$4,431.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,151.51 / $2,347.10 / $3,417.70	Facility		$2,151.51	$2,347.10	$3,417.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,531.19 / $2,531.19 / $3,221.51	Professional		$2,531.19	$2,531.19	$3,221.51
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 $2,381.32 / $3,382.58 / $4,852.96	Professional		$2,381.32	$3,382.58	$4,852.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,416.13 / $3,458.45 / $4,852.96	Professional		$2,416.13	$3,458.45	$4,852.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,678.81 / $2,859.75	Professional		$288.88	$1,678.81	$2,859.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,990.29 / $3,084.21 / $4,828.71	Professional		$1,990.29	$3,084.21	$4,828.71