Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,672.09 / $8,956.00 / $11,627.00	Facility		$2,672.09	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,537.60 / $2,758.69 / $4,937.83	Professional		$2,537.60	$2,758.69	$4,937.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,811.09 / $24,478.90	Facility		$2,802.00	$13,811.09	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,131.10 / $2,849.01 / $4,651.76	Professional		$2,131.10	$2,849.01	$4,651.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,541.27 / $3,049.52 / $3,774.45	Facility		$2,541.27	$3,049.52	$3,774.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,161.46 / $2,795.40 / $3,303.65	Professional		$2,161.46	$2,795.40	$3,303.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,323.69 / $3,536.59 / $5,386.17	Professional		$2,323.69	$3,536.59	$5,386.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,064.82	Facility		$425.00	$600.00	$3,064.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,336.02 / $3,557.78 / $5,386.17	Professional		$2,336.02	$3,557.78	$5,386.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $2,212.86 / $3,555.05	Professional		$228.55	$2,212.86	$3,555.05
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,270.27 / $3,144.99 / $5,504.76	Professional		$2,270.27	$3,144.99	$5,504.76