Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.15 / $7,157.93 / $14,500.00	Facility		$2,292.15	$7,157.93	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,855.27 / $2,101.96 / $4,215.68	Professional		$1,855.27	$2,101.96	$4,215.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $41,878.69 / $76,926.81	Facility		$6,813.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,771.78 / $2,395.35 / $3,816.65	Professional		$1,771.78	$2,395.35	$3,816.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.90 / $2,079.17 / $3,027.55	Facility		$1,905.90	$2,079.17	$3,027.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.23 / $2,242.23 / $2,853.76	Professional		$2,242.23	$2,242.23	$2,853.76
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 $2,133.53 / $2,955.67 / $4,257.35	Professional		$2,133.53	$2,955.67	$4,257.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,140.32 / $3,049.38 / $4,276.99	Professional		$2,140.32	$3,049.38	$4,276.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.16 / $1,834.29 / $2,755.21	Professional		$272.16	$1,834.29	$2,755.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,768.82 / $2,724.40 / $4,454.25	Professional		$1,768.82	$2,724.40	$4,454.25