Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,409.32 / $8,956.00 / $11,672.50	Facility		$3,409.32	$8,956.00	$11,672.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,029.18 / $3,409.32 / $6,364.53	Professional		$3,029.18	$3,409.32	$6,364.53
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 $2,239.23 / $3,115.47 / $5,321.50	Professional		$2,239.23	$3,115.47	$5,321.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,219.30 / $3,863.16 / $4,781.50	Facility		$3,219.30	$3,863.16	$4,781.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,503.98 / $3,541.23 / $4,185.09	Professional		$2,503.98	$3,541.23	$4,185.09
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 $2,695.54 / $4,064.63 / $6,678.83	Professional		$2,695.54	$4,064.63	$6,678.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,904.99	Facility		$425.00	$600.00	$3,904.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,720.72 / $4,185.09 / $6,438.60	Professional		$2,720.72	$4,185.09	$6,438.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.01 / $2,797.05 / $4,462.92	Professional		$314.01	$2,797.05	$4,462.92
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 $2,655.71 / $4,000.83 / $7,313.23	Professional		$2,655.71	$4,000.83	$7,313.23