Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,746.88 / $7,342.00 / $11,627.00	Facility		$2,746.88	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,364.75 / $2,746.88 / $5,172.17	Professional		$2,364.75	$2,746.88	$5,172.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.67 / $2,869.10 / $4,568.08	Professional		$2,071.67	$2,869.10	$4,568.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,512.44 / $2,740.85 / $3,991.05	Facility		$2,512.44	$2,740.85	$3,991.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,955.82 / $2,955.82 / $3,761.95	Professional		$2,955.82	$2,955.82	$3,761.95
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 $2,662.68 / $3,627.60 / $5,164.14	Professional		$2,662.68	$3,627.60	$5,164.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,209.63 / $3,209.63 / $3,209.63	Facility		$3,209.63	$3,209.63	$3,209.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,674.69 / $3,641.95 / $5,164.14	Professional		$2,674.69	$3,641.95	$5,164.14
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 $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 $2,184.62 / $3,386.58 / $5,734.25	Professional		$2,184.62	$3,386.58	$5,734.25