Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,132.30 / $8,553.00 / $11,627.00	Facility		$3,132.30	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.87 / $3,138.97 / $5,821.57	Professional		$2,866.87	$3,138.97	$5,821.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,706.91 / $3,550.19 / $5,413.82	Professional		$2,706.91	$3,550.19	$5,413.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,004.68 / $3,605.62 / $4,462.72	Facility		$3,004.68	$3,605.62	$4,462.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,305.15 / $3,305.15 / $3,906.08	Professional		$3,305.15	$3,305.15	$3,906.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $3,584.75	Facility		$425.00	$581.00	$3,584.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,783.90 / $4,206.55 / $6,340.35	Professional		$2,783.90	$4,206.55	$6,340.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $3,584.75	Facility		$425.00	$562.00	$3,584.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,783.90 / $4,237.31 / $6,340.35	Professional		$2,783.90	$4,237.31	$6,340.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.91 / $2,614.94 / $4,190.77	Professional		$292.91	$2,614.94	$4,190.77
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,764.49 / $4,001.91 / $6,711.48	Professional		$2,764.49	$4,001.91	$6,711.48