Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,140.23 / $7,915.02 / $11,627.00	Facility		$2,140.23	$7,915.02	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.11 / $2,273.01 / $4,283.00	Professional		$2,016.11	$2,273.01	$4,283.00
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 $1,763.08 / $2,389.12 / $3,792.18	Professional		$1,763.08	$2,389.12	$3,792.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,121.80 / $2,314.69 / $3,370.50	Facility		$2,121.80	$2,314.69	$3,370.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,047.44 / $2,496.23 / $3,177.02	Professional		$2,047.44	$2,496.23	$3,177.02
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 $2,288.21 / $3,177.02 / $4,531.92	Professional		$2,288.21	$3,177.02	$4,531.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,692.04 / $2,692.04	Facility		$2,692.04	$2,692.04	$2,692.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,382.76 / $3,234.63 / $4,373.52	Professional		$2,382.76	$3,234.63	$4,373.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.49 / $2,040.99 / $3,084.40	Professional		$308.49	$2,040.99	$3,084.40
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 $1,876.98 / $2,923.87 / $4,882.57	Professional		$1,876.98	$2,923.87	$4,882.57