Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,384.81 / $7,342.00 / $11,627.00	Facility		$2,384.81	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.63 / $2,384.81 / $4,821.43	Professional		$2,101.63	$2,384.81	$4,821.43
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 $2,004.21 / $2,853.96 / $4,637.93	Professional		$2,004.21	$2,853.96	$4,637.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,181.78 / $2,380.13 / $3,465.80	Facility		$2,181.78	$2,380.13	$3,465.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,525.17 / $2,566.81 / $3,266.84	Professional		$2,525.17	$2,566.81	$3,266.84
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 $2,374.05 / $3,292.98 / $4,810.93	Professional		$2,374.05	$3,292.98	$4,810.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Facility		$2,789.24	$2,789.24	$2,789.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,450.13 / $3,383.52 / $4,875.75	Professional		$2,450.13	$3,383.52	$4,875.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,749.51 / $2,941.63	Professional		$288.88	$1,749.51	$2,941.63
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 $2,009.70 / $3,098.20 / $5,058.70	Professional		$2,009.70	$3,098.20	$5,058.70