Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.33 / $8,116.65 / $11,627.00	Facility		$2,191.33	$8,116.65	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,064.96 / $2,281.00 / $4,172.08	Professional		$2,064.96	$2,281.00	$4,172.08
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 $1,729.01 / $2,360.73 / $3,872.72	Professional		$1,729.01	$2,360.73	$3,872.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,172.29 / $2,369.77 / $3,450.71	Facility		$2,172.29	$2,369.77	$3,450.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,197.71 / $2,555.63 / $3,252.62	Professional		$2,197.71	$2,555.63	$3,252.62
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 $2,309.52 / $3,219.41 / $4,639.22	Professional		$2,309.52	$3,219.41	$4,639.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,756.33	Facility		$2,756.33	$2,756.33	$2,756.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,344.52 / $3,266.60 / $4,477.93	Professional		$2,344.52	$3,266.60	$4,477.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $1,851.10 / $2,999.29	Professional		$299.26	$1,851.10	$2,999.29
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 $1,924.83 / $2,916.86 / $4,563.08	Professional		$1,924.83	$2,916.86	$4,563.08