Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,572.44 / $8,956.00 / $12,171.30	Facility		$3,572.44	$8,956.00	$12,171.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,261.17 / $3,576.35 / $6,642.60	Professional		$3,261.17	$3,576.35	$6,642.60
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 $1,787.69 / $2,634.60 / $4,858.34	Professional		$1,787.69	$2,634.60	$4,858.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,408.52 / $4,090.22 / $5,062.54	Facility		$3,408.52	$4,090.22	$5,062.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,537.31 / $3,749.37 / $4,431.08	Professional		$2,537.31	$3,749.37	$4,431.08
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 $2,677.84 / $4,685.76 / $7,284.72	Professional		$2,677.84	$4,685.76	$7,284.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,091.99	Facility		$425.00	$600.00	$4,091.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,853.85 / $4,771.93 / $7,255.87	Professional		$2,853.85	$4,771.93	$7,255.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $2,934.24 / $4,681.07	Professional		$323.79	$2,934.24	$4,681.07
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 $2,846.35 / $4,291.55 / $7,911.34	Professional		$2,846.35	$4,291.55	$7,911.34