Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.17 / $8,956.00 / $15,683.10	Facility		$4,677.17	$8,956.00	$15,683.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.13 / $4,677.17 / $8,625.98	Professional		$4,184.13	$4,677.17	$8,625.98
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 $3,813.57 / $5,024.66 / $8,250.78	Professional		$3,813.57	$5,024.66	$8,250.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,480.56 / $5,376.67 / $6,654.79	Facility		$4,480.56	$5,376.67	$6,654.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,191.76 / $4,928.62 / $5,824.73	Professional		$4,191.76	$4,928.62	$5,824.73
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 $4,145.89 / $6,072.63 / $9,413.58	Professional		$4,145.89	$6,072.63	$9,413.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $5,349.05	Facility		$425.00	$600.00	$5,349.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,145.89 / $6,272.78 / $9,413.58	Professional		$4,145.89	$6,272.78	$9,413.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.26 / $3,863.66 / $6,216.49	Professional		$446.26	$3,863.66	$6,216.49
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 $3,997.03 / $5,579.88 / $10,523.63	Professional		$3,997.03	$5,579.88	$10,523.63