Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,237.63 / $8,285.09 / $11,627.00	Facility		$2,237.63	$8,285.09	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.48 / $2,326.86 / $4,651.63	Professional		$2,105.48	$2,326.86	$4,651.63
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 $1,856.14 / $2,571.46 / $4,109.56	Professional		$1,856.14	$2,571.46	$4,109.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,218.57 / $2,420.26 / $3,524.23	Facility		$2,218.57	$2,420.26	$3,524.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,067.21 / $2,610.08 / $3,321.92	Professional		$2,067.21	$2,610.08	$3,321.92
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 $2,345.48 / $3,306.08 / $4,554.30	Professional		$2,345.48	$3,306.08	$4,554.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,814.58 / $2,814.58 / $2,814.58	Facility		$2,814.58	$2,814.58	$2,814.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,372.80 / $3,321.92 / $4,572.56	Professional		$2,372.80	$3,321.92	$4,572.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $1,887.45 / $3,110.71	Professional		$299.26	$1,887.45	$3,110.71
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 $1,962.23 / $3,111.69 / $4,661.10	Professional		$1,962.23	$3,111.69	$4,661.10