Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,094.85 / $8,956.00 / $11,627.00	Facility		$3,094.85	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.39 / $3,094.85 / $5,383.96	Professional		$2,650.39	$3,094.85	$5,383.96
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 $2,479.73 / $3,266.84 / $5,329.76	Professional		$2,479.73	$3,266.84	$5,329.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,960.98 / $3,553.18 / $4,397.82	Facility		$2,960.98	$3,553.18	$4,397.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,138.94 / $3,257.08 / $3,849.27	Professional		$3,138.94	$3,257.08	$3,849.27
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 $2,657.72 / $4,034.44 / $6,086.91	Professional		$2,657.72	$4,034.44	$6,086.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,539.93	Facility		$425.00	$600.00	$3,539.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,711.39 / $4,145.38 / $5,881.04	Professional		$2,711.39	$4,145.38	$5,881.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.65 / $2,561.18 / $4,114.53	Professional		$279.65	$2,561.18	$4,114.53
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 $2,616.37 / $3,553.18 / $6,167.33	Professional		$2,616.37	$3,553.18	$6,167.33