Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.71 / $7,342.00 / $11,627.00	Facility		$2,754.71	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,439.52 / $2,777.93 / $5,561.96	Professional		$2,439.52	$2,777.93	$5,561.96
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 $2,299.19 / $3,245.92 / $5,046.64	Professional		$2,299.19	$3,245.92	$5,046.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,520.11 / $2,749.21 / $4,003.23	Facility		$2,520.11	$2,749.21	$4,003.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,964.84 / $2,964.84 / $3,773.43	Professional		$2,964.84	$2,964.84	$3,773.43
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 $2,817.77 / $3,872.36 / $5,541.51	Professional		$2,817.77	$3,872.36	$5,541.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,218.75 / $3,218.75 / $3,218.75	Facility		$3,218.75	$3,218.75	$3,218.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,830.07 / $3,917.73 / $5,541.51	Professional		$2,830.07	$3,917.73	$5,541.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.28 / $1,967.23 / $3,371.03	Professional		$288.28	$1,967.23	$3,371.03
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 $2,237.65 / $3,480.58 / $5,523.05	Professional		$2,237.65	$3,480.58	$5,523.05