Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.32 / $7,223.09 / $11,627.00	Facility		$2,108.32	$7,223.09	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.53 / $2,226.44 / $3,979.60	Professional		$2,017.53	$2,226.44	$3,979.60
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 $1,596.98 / $2,246.34 / $3,725.95	Professional		$1,596.98	$2,246.34	$3,725.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.44 / $2,279.40 / $3,319.11	Facility		$2,089.44	$2,279.40	$3,319.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,998.46 / $2,458.17 / $3,128.58	Professional		$1,998.46	$2,458.17	$3,128.58
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 $2,234.69 / $3,120.78 / $4,333.80	Professional		$2,234.69	$3,120.78	$4,333.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,651.88 / $2,651.88 / $2,651.88	Facility		$2,651.88	$2,651.88	$2,651.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,267.12 / $3,142.80 / $4,308.30	Professional		$2,267.12	$3,142.80	$4,308.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $2,002.98 / $3,036.54	Professional		$308.52	$2,002.98	$3,036.54
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 $1,843.30 / $2,847.22 / $4,391.39	Professional		$1,843.30	$2,847.22	$4,391.39