Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,181.45 / $7,342.00 / $11,627.00	Facility		$3,181.45	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,749.90 / $3,181.45 / $6,452.50	Professional		$2,749.90	$3,181.45	$6,452.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,597.08 / $3,714.21 / $6,045.44	Professional		$2,597.08	$3,714.21	$6,045.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,898.63 / $3,720.17 / $4,940.85	Facility		$2,898.63	$3,720.17	$4,940.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,410.15 / $4,340.20 / $127,498.73	Professional		$3,410.15	$4,340.20	$127,498.73
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 $3,166.78 / $4,340.18 / $6,130.59	Professional		$3,166.78	$4,340.18	$6,130.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,714.84 / $3,714.84 / $3,714.84	Facility		$3,714.84	$3,714.84	$3,714.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,255.14 / $4,340.18 / $6,137.54	Professional		$3,255.14	$4,340.18	$6,137.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.96 / $2,270.23 / $3,877.34	Professional		$362.96	$2,270.23	$3,877.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,564.46 / $4,005.98 / $6,649.93	Professional		$2,564.46	$4,005.98	$6,649.93