Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,303.47 / $3,633.82 / $5,529.85	Facility		$3,303.47	$3,633.82	$5,529.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,233.91 / $4,271.60	Professional		$961.45	$3,233.91	$4,271.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.42 / $625.92 / $1,106.06	Professional		$465.42	$625.92	$1,106.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,417.99 / $5,417.99 / $6,374.10	Facility		$5,417.99	$5,417.99	$6,374.10
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 $3,080.93 / $5,046.08 / $6,660.83	Professional		$3,080.93	$5,046.08	$6,660.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,210.86 / $5,134.85 / $6,700.48	Professional		$3,210.86	$5,134.85	$6,700.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $1,917.14 / $3,511.88 / $6,374.10	Professional		$1,917.14	$3,511.88	$6,374.10