Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $6,661.56 / $9,682.50	Facility		$3,098.40	$6,661.56	$9,682.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,175.86 / $3,873.00	Professional		$3,098.40	$3,175.86	$3,873.00
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 $800.00 / $1,594.12 / $5,027.14	Professional		$800.00	$1,594.12	$5,027.14
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 $3,873.00 / $5,034.89 / $8,292.87	Professional		$3,873.00	$5,034.89	$8,292.87
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 $1,771.96 / $3,393.91 / $8,429.49	Professional		$1,771.96	$3,393.91	$8,429.49
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 $1,764.08 / $2,265.71 / $8,429.49	Professional		$1,764.08	$2,265.71	$8,429.49
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 $4,647.60 / $4,647.60 / $4,647.60	Facility		$4,647.60	$4,647.60	$4,647.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.16 / $2,323.80 / $5,115.07	Professional		$1,419.16	$2,323.80	$5,115.07