Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.34 / $8,373.66 / $11,581.00	Facility		$2,436.34	$8,373.66	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.77 / $2,443.15 / $4,931.33	Professional		$2,102.77	$2,443.15	$4,931.33
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 $1,319.60 / $1,895.29 / $3,347.79	Professional		$1,319.60	$1,895.29	$3,347.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,227.82 / $2,430.35 / $3,538.92	Facility		$2,227.82	$2,430.35	$3,538.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,825.07 / $2,620.96 / $3,335.77	Professional		$1,825.07	$2,620.96	$3,335.77
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 $2,183.40 / $3,241.04 / $4,747.42	Professional		$2,183.40	$3,241.04	$4,747.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,847.41 / $2,847.41 / $2,847.41	Facility		$2,847.41	$2,847.41	$2,847.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,195.12 / $3,316.10 / $4,613.71	Professional		$2,195.12	$3,316.10	$4,613.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,761.40 / $2,957.80	Professional		$288.88	$1,761.40	$2,957.80
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 $1,761.89 / $2,969.88 / $4,994.56	Professional		$1,761.89	$2,969.88	$4,994.56