Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.44 / $7,330.11 / $11,627.00	Facility		$1,986.44	$7,330.11	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.73 / $2,102.85 / $3,850.86	Professional		$1,901.73	$2,102.85	$3,850.86
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 $1,555.21 / $2,172.66 / $3,507.55	Professional		$1,555.21	$2,172.66	$3,507.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,969.13 / $2,148.14 / $3,127.99	Facility		$1,969.13	$2,148.14	$3,127.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,954.66 / $2,316.62 / $2,948.43	Professional		$1,954.66	$2,316.62	$2,948.43
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 $2,106.02 / $2,946.46 / $4,198.00	Professional		$2,106.02	$2,946.46	$4,198.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,498.52 / $2,498.52 / $2,498.52	Facility		$2,498.52	$2,498.52	$2,498.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,173.67 / $2,958.58 / $4,059.25	Professional		$2,173.67	$2,958.58	$4,059.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.83 / $1,685.04 / $2,745.54	Professional		$241.83	$1,685.04	$2,745.54
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 $1,774.14 / $2,635.59 / $4,080.48	Professional		$1,774.14	$2,635.59	$4,080.48