Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,886.79 / $8,956.00 / $11,627.00	Facility		$2,886.79	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.30 / $2,886.79 / $4,992.80	Professional		$2,586.30	$2,886.79	$4,992.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,734.14 / $24,478.90	Facility		$2,802.00	$13,734.14	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,337.61 / $3,073.64 / $5,071.51	Professional		$2,337.61	$3,073.64	$5,071.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,764.53 / $3,317.44 / $4,106.04	Facility		$2,764.53	$3,317.44	$4,106.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,857.28 / $3,040.98 / $3,593.89	Professional		$2,857.28	$3,040.98	$3,593.89
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 $2,471.17 / $3,757.48 / $5,715.65	Professional		$2,471.17	$3,757.48	$5,715.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,301.00	Facility		$425.00	$600.00	$3,301.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,536.94 / $3,870.35 / $5,587.33	Professional		$2,536.94	$3,870.35	$5,587.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $2,399.44 / $3,850.20	Professional		$254.99	$2,399.44	$3,850.20
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 $2,298.41 / $3,233.20 / $5,639.59	Professional		$2,298.41	$3,233.20	$5,639.59