Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,515.51 / $8,956.00 / $11,732.20	Facility		$3,515.51	$8,956.00	$11,732.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,229.43 / $3,524.34 / $6,494.92	Professional		$3,229.43	$3,524.34	$6,494.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,459.78 / $12,695.35	Facility		$2,644.00	$6,459.78	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,552.98 / $3,560.04 / $5,861.67	Professional		$2,552.98	$3,560.04	$5,861.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,367.00 / $4,040.40 / $5,000.87	Facility		$3,367.00	$4,040.40	$5,000.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,656.92 / $3,703.70 / $4,377.10	Professional		$2,656.92	$3,703.70	$4,377.10
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 $2,831.63 / $4,534.93 / $7,070.71	Professional		$2,831.63	$4,534.93	$7,070.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,019.92	Facility		$425.00	$600.00	$4,019.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,003.29 / $4,637.24 / $6,734.00	Professional		$3,003.29	$4,637.24	$6,734.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.54 / $2,923.38 / $4,711.14	Professional		$322.54	$2,923.38	$4,711.14
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 $2,988.75 / $4,277.30 / $7,909.90	Professional		$2,988.75	$4,277.30	$7,909.90