Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,459.17 / $6,756.00 / $14,500.00	Facility		$2,459.17	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.84 / $2,235.62 / $4,451.49	Professional		$1,894.84	$2,235.62	$4,451.49
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 $1,390.55 / $1,976.52 / $3,387.70	Professional		$1,390.55	$1,976.52	$3,387.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,039.99 / $2,225.44 / $2,618.17	Facility		$2,039.99	$2,225.44	$2,618.17
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 $2,138.17 / $2,957.40 / $4,145.43	Professional		$2,138.17	$2,957.40	$4,145.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,189.83 / $3,054.16 / $4,145.43	Professional		$2,189.83	$3,054.16	$4,145.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $1,576.55 / $2,741.60	Professional		$215.51	$1,576.55	$2,741.60
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 $1,764.24 / $2,628.67 / $4,246.71	Professional		$1,764.24	$2,628.67	$4,246.71