Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,338.98 / $7,239.64 / $11,581.00	Facility		$2,338.98	$7,239.64	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.17 / $2,175.55 / $5,824.91	Professional		$1,991.17	$2,175.55	$5,824.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.02 / $2,336.58 / $3,710.48	Professional		$1,681.02	$2,336.58	$3,710.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.28 / $2,119.94 / $3,086.93	Facility		$1,943.28	$2,119.94	$3,086.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,286.21 / $2,286.21 / $2,909.73	Professional		$2,286.21	$2,286.21	$2,909.73
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 $2,169.02 / $2,944.68 / $4,357.85	Professional		$2,169.02	$2,944.68	$4,357.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,182.30 / $3,013.65 / $4,179.30	Professional		$2,182.30	$3,013.65	$4,179.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $1,509.99 / $2,611.13	Professional		$250.36	$1,509.99	$2,611.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,578.00 / $11,097.00	Facility		$3,793.00	$6,578.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,789.33 / $2,784.48 / $4,677.59	Professional		$1,789.33	$2,784.48	$4,677.59