Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.17 / $8,828.56 / $11,627.00	Facility		$2,381.17	$8,828.56	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,242.69 / $2,524.40 / $4,956.75	Professional		$2,242.69	$2,524.40	$4,956.75
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 $2,034.76 / $2,766.97 / $4,402.27	Professional		$2,034.76	$2,766.97	$4,402.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,360.25 / $2,574.82 / $3,749.28	Facility		$2,360.25	$2,574.82	$3,749.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,453.89 / $2,776.76 / $3,534.06	Professional		$2,453.89	$2,776.76	$3,534.06
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 $2,544.89 / $3,534.06 / $5,056.62	Professional		$2,544.89	$3,534.06	$5,056.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $2,995.12	Facility		$2,995.12	$2,995.12	$2,995.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,650.55 / $3,660.28 / $4,885.88	Professional		$2,650.55	$3,660.28	$4,885.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $2,015.62 / $3,283.00	Professional		$299.26	$2,015.62	$3,283.00
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 $2,102.23 / $3,270.12 / $5,219.22	Professional		$2,102.23	$3,270.12	$5,219.22