Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,893.63 / $6,985.45 / $11,627.00	Facility		$1,893.63	$6,985.45	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,011.93 / $3,893.35	Professional		$1,784.30	$2,011.93	$3,893.35
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 $1,562.02 / $2,135.91 / $3,379.49	Professional		$1,562.02	$2,135.91	$3,379.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,876.95 / $2,047.58 / $2,981.55	Facility		$1,876.95	$2,047.58	$2,981.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,834.03 / $2,208.17 / $2,810.40	Professional		$1,834.03	$2,208.17	$2,810.40
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 $2,024.87 / $2,810.40 / $4,003.97	Professional		$2,024.87	$2,810.40	$4,003.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,381.78	Facility		$2,381.78	$2,381.78	$2,381.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,107.80 / $2,910.77 / $3,874.71	Professional		$2,107.80	$2,910.77	$3,874.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $1,594.03 / $2,621.21	Professional		$215.51	$1,594.03	$2,621.21
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 $1,667.62 / $2,648.90 / $4,040.26	Professional		$1,667.62	$2,648.90	$4,040.26