Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,275.01 / $6,910.08 / $11,581.00	Facility		$2,275.01	$6,910.08	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $2,033.37 / $4,071.86	Professional		$1,789.55	$2,033.37	$4,071.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,717.48 / $2,411.98 / $4,047.45	Professional		$1,717.48	$2,411.98	$4,047.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,844.39 / $2,012.06 / $2,929.84	Facility		$1,844.39	$2,012.06	$2,929.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,890.73 / $2,169.87 / $2,761.65	Professional		$1,890.73	$2,169.87	$2,761.65
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 $1,972.61 / $2,860.28 / $4,163.93	Professional		$1,972.61	$2,860.28	$4,163.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,355.71	Facility		$2,355.71	$2,355.71	$2,355.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,019.19 / $2,899.74 / $4,131.07	Professional		$2,019.19	$2,899.74	$4,131.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,466.04 / $2,482.85	Professional		$216.68	$1,466.04	$2,482.85
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 $1,693.77 / $2,619.98 / $4,245.37	Professional		$1,693.77	$2,619.98	$4,245.37