Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,438.16 / $8,956.00 / $15,142.80	Facility		$4,438.16	$8,956.00	$15,142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,054.30 / $4,501.10 / $8,247.79	Professional		$4,054.30	$4,501.10	$8,247.79
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 $1,830.89 / $2,694.51 / $5,952.24	Professional		$1,830.89	$2,694.51	$5,952.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,236.32 / $5,083.58 / $6,292.04	Facility		$4,236.32	$5,083.58	$6,292.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,243.23 / $4,659.95 / $5,507.22	Professional		$3,243.23	$4,659.95	$5,507.22
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 $2,748.42 / $5,768.65 / $9,026.37	Professional		$2,748.42	$5,768.65	$9,026.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $5,083.51	Facility		$425.00	$600.00	$5,083.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,926.68 / $5,874.03 / $9,006.61	Professional		$2,926.68	$5,874.03	$9,006.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $3,650.47 / $5,843.36	Professional		$414.00	$3,650.47	$5,843.36
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 $3,550.40 / $5,207.26 / $9,375.50	Professional		$3,550.40	$5,207.26	$9,375.50