Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,342.00 / $12,096.23	Facility		$3,444.00	$7,342.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,181.92 / $3,680.87 / $7,386.11	Professional		$3,181.92	$3,680.87	$7,386.11
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 $2,968.98 / $4,282.31 / $6,957.90	Professional		$2,968.98	$4,282.31	$6,957.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,354.75 / $4,305.56 / $5,718.33	Facility		$3,354.75	$4,305.56	$5,718.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,946.77 / $5,023.16 / $127,498.73	Professional		$3,946.77	$5,023.16	$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 $3,634.78 / $4,976.04 / $6,982.78	Professional		$3,634.78	$4,976.04	$6,982.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,635.42 / $5,023.16 / $7,121.68	Professional		$3,635.42	$5,023.16	$7,121.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $433.10 / $2,627.29 / $4,500.35	Professional		$433.10	$2,627.29	$4,500.35
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 $3,009.80 / $4,568.35 / $7,650.06	Professional		$3,009.80	$4,568.35	$7,650.06