Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,697.04 / $8,956.00 / $12,423.80	Facility		$3,697.04	$8,956.00	$12,423.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,391.21 / $3,697.04 / $6,864.86	Professional		$3,391.21	$3,697.04	$6,864.86
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 $3,227.42 / $4,232.85 / $6,454.84	Professional		$3,227.42	$4,232.85	$6,454.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,530.73 / $4,236.88 / $5,244.05	Facility		$3,530.73	$4,236.88	$5,244.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,883.80 / $3,883.80 / $4,589.95	Professional		$3,883.80	$3,883.80	$4,589.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $4,232.83	Facility		$425.00	$581.00	$4,232.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,316.99 / $4,985.34 / $7,543.21	Professional		$3,316.99	$4,985.34	$7,543.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $4,232.83	Facility		$425.00	$562.00	$4,232.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,316.99 / $5,028.89 / $7,520.19	Professional		$3,316.99	$5,028.89	$7,520.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.84 / $3,073.79 / $4,931.82	Professional		$356.84	$3,073.79	$4,931.82
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 $3,368.55 / $4,755.60 / $7,917.85	Professional		$3,368.55	$4,755.60	$7,917.85