Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,281.93 / $8,956.00 / $14,601.30	Facility		$4,281.93	$8,956.00	$14,601.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,911.89 / $4,316.50 / $7,955.05	Professional		$3,911.89	$4,316.50	$7,955.05
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 $1,893.07 / $2,826.49 / $5,742.35	Professional		$1,893.07	$2,826.49	$5,742.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,086.94 / $4,904.33 / $6,070.17	Facility		$4,086.94	$4,904.33	$6,070.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,002.58 / $4,495.63 / $5,313.02	Professional		$3,002.58	$4,495.63	$5,313.02
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 $2,870.19 / $5,666.26 / $8,761.90	Professional		$2,870.19	$5,666.26	$8,761.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,904.50	Facility		$425.00	$600.00	$4,904.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,040.45 / $5,721.71 / $8,689.50	Professional		$3,040.45	$5,721.71	$8,689.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $3,541.08 / $5,686.97	Professional		$414.00	$3,541.08	$5,686.97
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 $3,651.40 / $5,388.68 / $9,489.60	Professional		$3,651.40	$5,388.68	$9,489.60