Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,880.19 / $8,956.00 / $11,627.00	Facility		$2,880.19	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.11 / $2,882.36 / $5,349.64	Professional		$2,650.11	$2,882.36	$5,349.64
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 $2,297.39 / $3,034.77 / $4,984.27	Professional		$2,297.39	$3,034.77	$4,984.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,751.18 / $3,301.42 / $4,086.22	Facility		$2,751.18	$3,301.42	$4,086.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,546.07 / $3,026.30 / $3,576.53	Professional		$2,546.07	$3,026.30	$3,576.53
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 $2,557.00 / $3,812.02 / $5,843.31	Professional		$2,557.00	$3,812.02	$5,843.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,293.81	Facility		$425.00	$600.00	$3,293.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,572.35 / $3,851.65 / $5,814.87	Professional		$2,572.35	$3,851.65	$5,814.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $2,399.46 / $3,850.28	Professional		$254.99	$2,399.46	$3,850.28
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 $2,505.48 / $3,523.58 / $6,163.86	Professional		$2,505.48	$3,523.58	$6,163.86