Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $7,122.54 / $11,627.00	Facility		$2,292.00	$7,122.54	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,818.50 / $2,128.04 / $4,180.06	Professional		$1,818.50	$2,128.04	$4,180.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,884.43 / $2,633.16 / $4,158.34	Professional		$1,884.43	$2,633.16	$4,158.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,896.77 / $2,069.21 / $3,013.04	Facility		$1,896.77	$2,069.21	$3,013.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,231.48 / $2,231.48 / $2,840.08	Professional		$2,231.48	$2,231.48	$2,840.08
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 $2,103.90 / $2,955.31 / $4,281.14	Professional		$2,103.90	$2,955.31	$4,281.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,447.00	Facility		$2,447.00	$2,447.00	$2,447.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,130.06 / $3,017.83 / $4,251.89	Professional		$2,130.06	$3,017.83	$4,251.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $1,495.29 / $2,508.60	Professional		$253.07	$1,495.29	$2,508.60
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 $1,749.10 / $2,745.75 / $4,353.16	Professional		$1,749.10	$2,745.75	$4,353.16