Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.73 / $7,342.00 / $11,627.00	Facility		$2,714.73	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,366.84 / $2,757.17 / $5,438.73	Professional		$2,366.84	$2,757.17	$5,438.73
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 $2,321.94 / $3,296.78 / $5,318.89	Professional		$2,321.94	$3,296.78	$5,318.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,468.50 / $2,692.91 / $3,921.24	Facility		$2,468.50	$2,692.91	$3,921.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,904.12 / $2,904.12 / $3,696.15	Professional		$2,904.12	$2,904.12	$3,696.15
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 $2,727.11 / $3,736.38 / $5,535.91	Professional		$2,727.11	$3,736.38	$5,535.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,772.12 / $3,828.16 / $5,535.91	Professional		$2,772.12	$3,828.16	$5,535.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.31 / $1,946.29 / $3,297.76	Professional		$328.31	$1,946.29	$3,297.76
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 $2,269.55 / $3,456.68 / $5,725.13	Professional		$2,269.55	$3,456.68	$5,725.13