Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.00 / $7,342.00 / $12,492.00	Facility		$3,444.00	$7,342.00	$12,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,344.31 / $4,892.64 / $9,078.49	Professional		$4,344.31	$4,892.64	$9,078.49
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 $3,188.24 / $4,726.25 / $8,288.93	Professional		$3,188.24	$4,726.25	$8,288.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,679.46 / $5,615.35 / $6,950.21	Facility		$4,679.46	$5,615.35	$6,950.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,833.35 / $5,147.41 / $6,083.30	Professional		$3,833.35	$5,147.41	$6,083.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $5,597.96	Facility		$425.00	$581.00	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,889.51 / $6,478.23 / $9,915.96	Professional		$3,889.51	$6,478.23	$9,915.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $5,597.96	Facility		$425.00	$562.00	$5,597.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,613.07 / $6,551.25 / $9,915.96	Professional		$2,613.07	$6,551.25	$9,915.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $4,053.58 / $6,486.87	Professional		$457.47	$4,053.58	$6,486.87
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 $4,183.46 / $5,889.36 / $10,445.37	Professional		$4,183.46	$5,889.36	$10,445.37