Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,659.31 / $7,342.00 / $11,627.00	Facility		$2,659.31	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.77 / $2,659.31 / $4,934.00	Professional		$2,328.77	$2,659.31	$4,934.00
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 $2,088.87 / $2,846.25 / $4,549.93	Professional		$2,088.87	$2,846.25	$4,549.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,431.11 / $2,652.12 / $3,861.86	Facility		$2,431.11	$2,652.12	$3,861.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,614.59 / $2,860.13 / $3,640.17	Professional		$2,614.59	$2,860.13	$3,640.17
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 $2,600.12 / $3,615.63 / $5,119.43	Professional		$2,600.12	$3,615.63	$5,119.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,664.36 / $3,640.17 / $5,055.83	Professional		$2,664.36	$3,640.17	$5,055.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,921.96 / $3,287.43	Professional		$288.88	$1,921.96	$3,287.43
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 $2,155.09 / $3,260.66 / $5,579.17	Professional		$2,155.09	$3,260.66	$5,579.17