Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,286.64 / $7,342.00 / $11,627.00	Facility		$3,286.64	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,839.55 / $3,286.64 / $6,347.70	Professional		$2,839.55	$3,286.64	$6,347.70
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 $2,431.59 / $3,589.37 / $5,708.52	Professional		$2,431.59	$3,589.37	$5,708.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,994.76 / $3,267.01 / $4,757.21	Facility		$2,994.76	$3,267.01	$4,757.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,523.25 / $3,523.25 / $4,484.13	Professional		$3,523.25	$3,523.25	$4,484.13
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 $3,262.67 / $4,323.97 / $6,178.89	Professional		$3,262.67	$4,323.97	$6,178.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,837.41 / $3,837.41 / $3,837.41	Facility		$3,837.41	$3,837.41	$3,837.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,262.67 / $4,336.93 / $6,178.89	Professional		$3,262.67	$4,336.93	$6,178.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.96 / $2,348.34 / $4,020.59	Professional		$362.96	$2,348.34	$4,020.59
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 $2,658.81 / $3,960.76 / $6,340.66	Professional		$2,658.81	$3,960.76	$6,340.66