Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,705.58 / $9,216.29 / $24,602.23	Facility		$2,705.58	$9,216.29	$24,602.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.17 / $2,724.57 / $4,971.20	Professional		$2,501.17	$2,724.57	$4,971.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,446.55 / $12,695.35	Facility		$2,644.00	$6,446.55	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,243.58 / $2,930.55 / $5,000.85	Professional		$2,243.58	$2,930.55	$5,000.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,570.66 / $3,084.79 / $3,818.10	Facility		$2,570.66	$3,084.79	$3,818.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,221.46 / $2,827.73 / $3,341.86	Professional		$2,221.46	$2,827.73	$3,341.86
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 $2,410.48 / $3,598.92 / $5,479.97	Professional		$2,410.48	$3,598.92	$5,479.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,111.12	Facility		$425.00	$600.00	$3,111.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,416.42 / $3,636.31 / $5,430.15	Professional		$2,416.42	$3,636.31	$5,430.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.48 / $2,095.03 / $3,459.60	Professional		$347.48	$2,095.03	$3,459.60
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 $2,325.34 / $3,261.15 / $5,680.25	Professional		$2,325.34	$3,261.15	$5,680.25