Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.53 / $7,511.63 / $11,627.00	Facility		$2,221.53	$7,511.63	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,078.65 / $2,221.53 / $4,111.89	Professional		$2,078.65	$2,221.53	$4,111.89
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 $1,879.46 / $2,462.08 / $4,083.74	Professional		$1,879.46	$2,462.08	$4,083.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,120.48 / $2,544.58 / $3,149.46	Facility		$2,120.48	$2,544.58	$3,149.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,017.37 / $2,332.53 / $2,756.62	Professional		$2,017.37	$2,332.53	$2,756.62
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 $1,972.64 / $2,968.67 / $4,612.35	Professional		$1,972.64	$2,968.67	$4,612.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,543.44	Facility		$425.00	$600.00	$2,543.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,078.07 / $2,990.89 / $4,491.53	Professional		$2,078.07	$2,990.89	$4,491.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $2,097.93 / $3,046.46	Professional		$252.55	$2,097.93	$3,046.46
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 $1,965.73 / $2,784.90 / $4,755.22	Professional		$1,965.73	$2,784.90	$4,755.22