Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,539.21 / $8,956.00 / $11,627.00	Facility		$2,539.21	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.02 / $2,654.09 / $5,241.02	Professional		$2,396.02	$2,654.09	$5,241.02
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 $2,117.67 / $2,906.78 / $4,594.35	Professional		$2,117.67	$2,906.78	$4,594.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,516.53 / $2,745.30 / $3,997.53	Facility		$2,516.53	$2,745.30	$3,997.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,591.46 / $2,960.62 / $3,768.06	Professional		$2,591.46	$2,960.62	$3,768.06
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 $2,713.23 / $3,768.06 / $5,403.26	Professional		$2,713.23	$3,768.06	$5,403.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,193.94	Facility		$3,193.94	$3,193.94	$3,193.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,826.04 / $3,902.63 / $5,188.81	Professional		$2,826.04	$3,902.63	$5,188.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.10 / $2,154.30 / $3,496.83	Professional		$307.10	$2,154.30	$3,496.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,244.80 / $3,550.05 / $5,445.04	Professional		$2,244.80	$3,550.05	$5,445.04