Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,197.83 / $8,956.00 / $13,148.00	Facility		$4,197.83	$8,956.00	$13,148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,759.66 / $4,208.43 / $7,765.81	Professional		$3,759.66	$4,208.43	$7,765.81
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 $3,048.07 / $4,058.49 / $6,707.50	Professional		$3,048.07	$4,058.49	$6,707.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,018.31 / $4,821.97 / $5,968.23	Facility		$4,018.31	$4,821.97	$5,968.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,087.49 / $4,420.14 / $5,223.80	Professional		$3,087.49	$4,420.14	$5,223.80
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 $3,377.98 / $5,327.92 / $8,438.45	Professional		$3,377.98	$5,327.92	$8,438.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,800.85	Facility		$425.00	$600.00	$4,800.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,608.57 / $5,388.02 / $8,036.62	Professional		$3,608.57	$5,388.02	$8,036.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $3,480.80 / $5,574.38	Professional		$389.98	$3,480.80	$5,574.38
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 $3,548.04 / $4,899.60 / $8,917.06	Professional		$3,548.04	$4,899.60	$8,917.06