Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,757.23 / $8,956.00 / $11,627.00	Facility		$2,757.23	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,613.11 / $2,917.27 / $5,769.59	Professional		$2,613.11	$2,917.27	$5,769.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,237.71 / $3,167.96 / $5,055.37	Professional		$2,237.71	$3,167.96	$5,055.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,732.60 / $2,981.02 / $4,340.76	Facility		$2,732.60	$2,981.02	$4,340.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,618.02 / $3,214.82 / $4,091.58	Professional		$2,618.02	$3,214.82	$4,091.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,945.51 / $4,091.58 / $5,884.95	Professional		$2,945.51	$4,091.58	$5,884.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,468.26 / $3,468.26 / $3,468.26	Facility		$3,468.26	$3,468.26	$3,468.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,068.69 / $4,237.71 / $5,670.65	Professional		$3,068.69	$4,237.71	$5,670.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.64 / $2,316.85 / $3,785.08	Professional		$340.64	$2,316.85	$3,785.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,433.90 / $3,918.16 / $6,231.42	Professional		$2,433.90	$3,918.16	$6,231.42