Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,723.00 / $9,116.33 / $16,782.09	Facility		$4,723.00	$9,116.33	$16,782.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,546.85 / $4,902.88 / $9,116.33	Professional		$4,546.85	$4,902.88	$9,116.33
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 $1,760.73 / $2,654.93 / $6,489.07	Professional		$1,760.73	$2,654.93	$6,489.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,671.47 / $5,605.76 / $6,938.35	Facility		$4,671.47	$5,605.76	$6,938.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,579.50 / $5,138.62 / $6,072.91	Professional		$3,579.50	$5,138.62	$6,072.91
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 $2,689.99 / $6,388.55 / $9,996.94	Professional		$2,689.99	$6,388.55	$9,996.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $5,609.84	Facility		$425.00	$600.00	$5,609.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,055.28 / $6,540.05 / $9,928.14	Professional		$3,055.28	$6,540.05	$9,928.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $449.42 / $4,022.18 / $6,481.29	Professional		$449.42	$4,022.18	$6,481.29
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 $4,031.07 / $5,918.21 / $10,513.12	Professional		$4,031.07	$5,918.21	$10,513.12