Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.96 / $6,953.50 / $11,627.00	Facility		$2,240.96	$6,953.50	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.64 / $2,037.24 / $5,337.57	Professional		$1,789.64	$2,037.24	$5,337.57
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 $1,636.17 / $2,224.01 / $3,592.27	Professional		$1,636.17	$2,224.01	$3,592.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,865.08 / $2,034.64 / $2,962.71	Facility		$1,865.08	$2,034.64	$2,962.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,194.21 / $2,194.21 / $2,792.64	Professional		$2,194.21	$2,194.21	$2,792.64
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 $2,064.92 / $2,792.63 / $3,920.66	Professional		$2,064.92	$2,792.63	$3,920.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,094.46 / $2,879.19 / $3,920.66	Professional		$2,094.46	$2,879.19	$3,920.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $1,443.20 / $2,501.26	Professional		$250.36	$1,443.20	$2,501.26
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 $1,714.30 / $2,648.67 / $4,277.60	Professional		$1,714.30	$2,648.67	$4,277.60