Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,867.49 / $8,956.00 / $11,627.00	Facility		$2,867.49	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.53 / $2,869.83 / $5,325.75	Professional		$2,638.53	$2,869.83	$5,325.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,283.21 / $3,026.68 / $4,953.52	Professional		$2,283.21	$3,026.68	$4,953.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,739.08 / $3,286.90 / $4,068.24	Facility		$2,739.08	$3,286.90	$4,068.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,545.35 / $3,012.99 / $3,560.80	Professional		$2,545.35	$3,012.99	$3,560.80
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 $2,546.09 / $3,786.24 / $5,817.51	Professional		$2,546.09	$3,786.24	$5,817.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,279.28	Facility		$425.00	$600.00	$3,279.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,561.04 / $3,834.71 / $5,794.99	Professional		$2,561.04	$3,834.71	$5,794.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $2,378.58 / $3,833.25	Professional		$254.99	$2,378.58	$3,833.25
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 $2,529.65 / $3,540.56 / $6,137.57	Professional		$2,529.65	$3,540.56	$6,137.57