Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,659.20 / $6,249.12 / $12,261.60	Facility		$2,659.20	$6,249.12	$12,261.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,659.20 / $4,798.53	Professional		$1,000.00	$2,659.20	$4,798.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,935.09 / $3,656.40 / $5,882.48	Facility		$2,935.09	$3,656.40	$5,882.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,329.60 / $3,324.00	Professional		$800.00	$1,329.60	$3,324.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,501.31 / $3,490.20 / $4,986.00	Facility		$2,501.31	$3,490.20	$4,986.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,825.40 / $4,321.20 / $7,977.60	Professional		$2,825.40	$4,321.20	$7,977.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $3,422.39 / $11,343.15	Facility		$2,160.60	$3,422.39	$11,343.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.66 / $2,160.60 / $6,439.73	Professional		$1,520.66	$2,160.60	$6,439.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,160.60 / $3,422.39 / $12,855.46	Facility		$2,160.60	$3,422.39	$12,855.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,520.66 / $1,944.54 / $7,234.13	Professional		$1,520.66	$1,944.54	$7,234.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,493.00 / $2,866.95 / $3,988.80	Professional		$2,493.00	$2,866.95	$3,988.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,196.64 / $1,196.64 / $2,991.60	Facility		$1,196.64	$1,196.64	$2,991.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $5,361.61	Professional		$1,396.08	$1,994.40	$5,361.61