Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.14 / $7,342.00 / $11,627.00	Facility		$2,553.14	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,255.51 / $2,576.44 / $5,154.78	Professional		$2,255.51	$2,576.44	$5,154.78
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 $2,199.69 / $2,873.13 / $4,685.02	Professional		$2,199.69	$2,873.13	$4,685.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,334.76 / $2,547.01 / $3,708.80	Facility		$2,334.76	$2,547.01	$3,708.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,712.74 / $2,746.78 / $3,495.90	Professional		$2,712.74	$2,746.78	$3,495.90
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 $2,613.98 / $3,620.75 / $5,213.88	Professional		$2,613.98	$3,620.75	$5,213.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,621.92 / $3,670.69 / $5,229.72	Professional		$2,621.92	$3,670.69	$5,229.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,832.81 / $3,130.71	Professional		$288.88	$1,832.81	$3,130.71
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 $2,209.26 / $3,327.91 / $5,468.73	Professional		$2,209.26	$3,327.91	$5,468.73