Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,383.44 / $8,251.04 / $11,627.00	Facility		$3,383.44	$8,251.04	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $5,548.78	Professional		$1,875.00	$1,875.00	$5,548.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,489.61 / $3,389.86 / $5,376.84	Professional		$2,489.61	$3,389.86	$5,376.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $562.00 / $21,571.00	Facility		$530.00	$562.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $445.55 / $721.56	Professional		$328.44	$445.55	$721.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $562.00 / $600.00	Facility		$530.00	$562.00	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $445.55 / $705.53	Professional		$328.44	$445.55	$705.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $1,700.70 / $1,700.70 / $1,700.70	Professional		$1,700.70	$1,700.70	$1,700.70