Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,246.72 / $8,956.00 / $14,205.40	Facility		$4,246.72	$8,956.00	$14,205.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,803.14 / $4,246.72 / $7,822.02	Professional		$3,803.14	$4,246.72	$7,822.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,175.00 / $14,996.00	Facility		$1,082.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,464.50 / $4,566.91 / $7,314.34	Professional		$3,464.50	$4,566.91	$7,314.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,067.79 / $4,881.35 / $6,041.73	Facility		$4,067.79	$4,881.35	$6,041.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,626.11 / $4,474.57 / $5,288.13	Professional		$3,626.11	$4,474.57	$5,288.13
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 $3,755.39 / $5,434.28 / $8,561.70	Professional		$3,755.39	$5,434.28	$8,561.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,856.28	Facility		$425.00	$600.00	$4,856.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,755.39 / $5,544.83 / $8,342.61	Professional		$3,755.39	$5,544.83	$8,342.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $412.07 / $3,535.56 / $5,711.49	Professional		$412.07	$3,535.56	$5,711.49
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 $3,595.97 / $5,080.83 / $8,964.35	Professional		$3,595.97	$5,080.83	$8,964.35