Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $6,957.37 / $14,500.00	Facility		$2,292.00	$6,957.37	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.07 / $2,046.71 / $4,660.50	Professional		$1,697.07	$2,046.71	$4,660.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $30,285.00 / $53,822.78	Facility		$5,920.00	$30,285.00	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.93 / $2,189.15 / $3,561.58	Professional		$1,576.93	$2,189.15	$3,561.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,866.67 / $2,036.36 / $2,965.22	Facility		$1,866.67	$2,036.36	$2,965.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,062.19 / $2,196.07 / $2,795.00	Professional		$2,062.19	$2,196.07	$2,795.00
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 $2,014.03 / $2,795.01 / $3,910.01	Professional		$2,014.03	$2,795.01	$3,910.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,368.37 / $2,368.37 / $2,368.37	Facility		$2,368.37	$2,368.37	$2,368.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,043.73 / $2,795.01 / $3,847.82	Professional		$2,043.73	$2,795.01	$3,847.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,439.57 / $2,484.13	Professional		$216.49	$1,439.57	$2,484.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,650.19 / $2,573.16 / $4,292.60	Professional		$1,650.19	$2,573.16	$4,292.60