Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,873.04 / $8,956.00 / $12,672.00	Facility		$3,873.04	$8,956.00	$12,672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,473.10 / $3,883.06 / $7,161.10	Professional		$3,473.10	$3,883.06	$7,161.10
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 $2,892.42 / $4,004.72 / $6,546.53	Professional		$2,892.42	$4,004.72	$6,546.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,708.08 / $4,449.70 / $5,507.46	Facility		$3,708.08	$4,449.70	$5,507.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,978.31 / $4,078.89 / $4,820.50	Professional		$2,978.31	$4,078.89	$4,820.50
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 $3,127.43 / $4,961.72 / $7,814.50	Professional		$3,127.43	$4,961.72	$7,814.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,429.10	Facility		$425.00	$600.00	$4,429.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,337.27 / $5,005.91 / $7,500.39	Professional		$3,337.27	$5,005.91	$7,500.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $3,216.93 / $5,182.69	Professional		$389.98	$3,216.93	$5,182.69
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 $3,214.45 / $4,545.26 / $8,079.94	Professional		$3,214.45	$4,545.26	$8,079.94