Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,838.61 / $8,956.00 / $11,627.00	Facility		$2,838.61	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.86 / $2,838.61 / $5,254.20	Professional		$2,610.86	$2,838.61	$5,254.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,212.00 / $2,985.32 / $4,911.39	Professional		$2,212.00	$2,985.32	$4,911.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,715.10 / $3,258.12 / $4,032.63	Facility		$2,715.10	$3,258.12	$4,032.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,437.04 / $2,986.61 / $3,529.63	Professional		$2,437.04	$2,986.61	$3,529.63
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 $2,479.08 / $3,722.51 / $5,745.55	Professional		$2,479.08	$3,722.51	$5,745.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,246.98	Facility		$425.00	$600.00	$3,246.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,517.61 / $3,801.14 / $5,730.96	Professional		$2,517.61	$3,801.14	$5,730.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $2,338.49 / $3,777.76	Professional		$245.01	$2,338.49	$3,777.76
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 $2,414.31 / $3,397.29 / $6,009.67	Professional		$2,414.31	$3,397.29	$6,009.67