Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,379.62 / $9,504.00 / $17,142.27	Facility		$4,379.62	$9,504.00	$17,142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,995.26 / $4,385.46 / $8,151.47	Professional		$3,995.26	$4,385.46	$8,151.47
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 $1,812.57 / $2,721.30 / $5,871.04	Professional		$1,812.57	$2,721.30	$5,871.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,178.53 / $5,014.24 / $6,206.20	Facility		$4,178.53	$5,014.24	$6,206.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,036.85 / $4,596.38 / $5,432.09	Professional		$3,036.85	$4,596.38	$5,432.09
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 $2,755.27 / $5,696.96 / $8,893.58	Professional		$2,755.27	$5,696.96	$8,893.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $5,017.04	Facility		$425.00	$600.00	$5,017.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,894.06 / $5,842.08 / $8,872.06	Professional		$2,894.06	$5,842.08	$8,872.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $3,612.56 / $5,781.01	Professional		$414.00	$3,612.56	$5,781.01
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 $3,629.39 / $5,428.20 / $9,387.66	Professional		$3,629.39	$5,428.20	$9,387.66