Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.17 / $7,501.00 / $14,500.00	Facility		$2,522.17	$7,501.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.36 / $2,292.88 / $4,573.31	Professional		$1,944.36	$2,292.88	$4,573.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $41,878.69 / $76,926.81	Facility		$5,920.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.77 / $2,374.27 / $3,841.57	Professional		$1,681.77	$2,374.27	$3,841.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,091.71 / $2,281.86 / $3,322.71	Facility		$2,091.71	$2,281.86	$3,322.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,199.28 / $2,460.83 / $3,131.97	Professional		$2,199.28	$2,460.83	$3,131.97
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 $2,237.12 / $3,044.91 / $4,290.66	Professional		$2,237.12	$3,044.91	$4,290.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,242.75 / $3,113.97 / $4,290.66	Professional		$2,242.75	$3,113.97	$4,290.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,610.93 / $2,801.42	Professional		$216.49	$1,610.93	$2,801.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,267.00 / $15,869.00	Facility		$5,351.00	$11,267.00	$15,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,799.69 / $2,770.81 / $4,729.60	Professional		$1,799.69	$2,770.81	$4,729.60