Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.12 / $6,756.00 / $14,500.00	Facility		$2,520.12	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.62 / $2,291.02 / $4,561.60	Professional		$1,941.62	$2,291.02	$4,561.60
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 $1,428.09 / $2,016.13 / $3,479.17	Professional		$1,428.09	$2,016.13	$3,479.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.38 / $2,279.33 / $2,681.57	Facility		$2,089.38	$2,279.33	$2,681.57
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 $2,092.09 / $3,018.87 / $4,219.07	Professional		$2,092.09	$3,018.87	$4,219.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,209.17 / $3,128.50 / $4,245.82	Professional		$2,209.17	$3,128.50	$4,245.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $1,610.04 / $2,801.65	Professional		$215.51	$1,610.04	$2,801.65
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 $1,786.94 / $2,759.41 / $4,753.18	Professional		$1,786.94	$2,759.41	$4,753.18