Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,502.32 / $7,342.00 / $11,627.00	Facility		$2,502.32	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.57 / $2,556.16 / $6,556.08	Professional		$2,189.57	$2,556.16	$6,556.08
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 $2,298.00 / $3,175.57 / $5,335.26	Professional		$2,298.00	$3,175.57	$5,335.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,275.58 / $2,482.44 / $3,614.80	Facility		$2,275.58	$2,482.44	$3,614.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,677.16 / $2,677.16 / $3,407.29	Professional		$2,677.16	$2,677.16	$3,407.29
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 $2,516.83 / $3,577.66 / $5,028.77	Professional		$2,516.83	$3,577.66	$5,028.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $2,934.56	Facility		$2,934.56	$2,934.56	$2,934.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,555.46 / $3,678.41 / $5,102.10	Professional		$2,555.46	$3,678.41	$5,102.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,770.20 / $3,007.52	Professional		$288.88	$1,770.20	$3,007.52
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 $2,153.54 / $3,328.71 / $5,342.26	Professional		$2,153.54	$3,328.71	$5,342.26