Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.98 / $7,342.00 / $11,627.00	Facility		$2,578.98	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,218.23 / $2,578.98 / $5,174.14	Professional		$2,218.23	$2,578.98	$5,174.14
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 $2,102.62 / $2,869.57 / $4,492.80	Professional		$2,102.62	$2,869.57	$4,492.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,361.63 / $2,576.33 / $3,751.48	Facility		$2,361.63	$2,576.33	$3,751.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,778.39 / $2,778.39 / $3,536.13	Professional		$2,778.39	$2,778.39	$3,536.13
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 $2,525.81 / $3,536.13 / $4,953.57	Professional		$2,525.81	$3,536.13	$4,953.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,525.81 / $3,536.13 / $5,238.26	Professional		$2,525.81	$3,536.13	$5,238.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,868.92 / $3,172.20	Professional		$288.88	$1,868.92	$3,172.20
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 $2,081.46 / $3,226.58 / $5,373.10	Professional		$2,081.46	$3,226.58	$5,373.10