Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $7,342.00 / $11,627.00	Facility		$2,292.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.94 / $2,273.23 / $5,807.33	Professional		$1,950.94	$2,273.23	$5,807.33
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 $1,823.66 / $2,489.81 / $3,956.47	Professional		$1,823.66	$2,489.81	$3,956.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,028.73 / $2,213.16 / $3,222.67	Facility		$2,028.73	$2,213.16	$3,222.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,386.75 / $2,386.75 / $3,037.68	Professional		$2,386.75	$2,386.75	$3,037.68
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 $2,258.89 / $3,122.57 / $4,395.37	Professional		$2,258.89	$3,122.57	$4,395.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,278.26 / $3,157.69 / $4,395.37	Professional		$2,278.26	$3,157.69	$4,395.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,602.84 / $2,742.49	Professional		$288.88	$1,602.84	$2,742.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,557.00 / $10,989.00	Facility		$3,793.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.14 / $2,891.64 / $4,741.52	Professional		$1,867.14	$2,891.64	$4,741.52