Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $6,637.17 / $9,682.50	Facility		$3,098.40	$6,637.17	$9,682.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $5,591.06	Professional		$2,711.10	$3,098.40	$5,591.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,419.86 / $4,182.84 / $6,854.05	Facility		$3,419.86	$4,182.84	$6,854.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $2,013.96 / $5,791.02	Professional		$1,549.20	$2,013.96	$5,791.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $4,841.25 / $5,809.50	Facility		$3,873.00	$4,841.25	$5,809.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,034.89 / $5,228.55 / $9,295.20	Professional		$5,034.89	$5,228.55	$9,295.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,985.12 / $4,405.54 / $22,103.21	Facility		$3,985.12	$4,405.54	$22,103.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.18 / $2,870.39 / $7,503.74	Professional		$1,766.18	$2,870.39	$7,503.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,985.12 / $4,405.54 / $22,103.21	Facility		$3,985.12	$4,405.54	$22,103.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,766.18 / $2,265.71 / $7,503.74	Professional		$1,766.18	$2,265.71	$7,503.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,049.98 / $3,485.70 / $4,792.83	Professional		$3,049.98	$3,485.70	$4,792.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,394.28 / $1,394.28 / $3,485.70	Facility		$1,394.28	$1,394.28	$3,485.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,115.07	Professional		$1,626.66	$2,323.80	$5,115.07