Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,637.81 / $7,501.00 / $14,500.00	Facility		$2,637.81	$7,501.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,228.07 / $2,419.89 / $4,849.45	Professional		$2,228.07	$2,419.89	$4,849.45
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 $1,999.91 / $2,692.89 / $4,317.67	Professional		$1,999.91	$2,692.89	$4,317.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,192.98 / $2,392.36 / $3,483.60	Facility		$2,192.98	$2,392.36	$3,483.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,458.69 / $2,580.00 / $3,283.63	Professional		$2,458.69	$2,580.00	$3,283.63
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 $2,430.76 / $3,400.90 / $5,040.53	Professional		$2,430.76	$3,400.90	$5,040.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,462.71 / $3,486.17 / $4,935.85	Professional		$2,462.71	$3,486.17	$4,935.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $1,890.83 / $3,031.76	Professional		$274.18	$1,890.83	$3,031.76
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 $2,003.03 / $3,121.61 / $5,016.67	Professional		$2,003.03	$3,121.61	$5,016.67