Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,684.59 / $8,956.00 / $11,627.00	Facility		$2,684.59	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,436.66 / $2,684.59 / $4,563.80	Professional		$2,436.66	$2,684.59	$4,563.80
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 $2,086.57 / $2,812.61 / $4,526.87	Professional		$2,086.57	$2,812.61	$4,526.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.21 / $3,084.25 / $3,817.43	Facility		$2,570.21	$3,084.25	$3,817.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,318.98 / $2,827.23 / $3,341.27	Professional		$2,318.98	$2,827.23	$3,341.27
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 $2,371.69 / $3,480.68 / $5,420.19	Professional		$2,371.69	$3,480.68	$5,420.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,070.20	Facility		$425.00	$600.00	$3,070.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,371.69 / $3,598.30 / $5,397.45	Professional		$2,371.69	$3,598.30	$5,397.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $2,217.25 / $3,581.02	Professional		$245.01	$2,217.25	$3,581.02
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 $2,331.94 / $3,281.76 / $6,059.56	Professional		$2,331.94	$3,281.76	$6,059.56