Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $7,944.00 / $12,190.60	Facility		$3,660.83	$7,944.00	$12,190.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,697.44 / $10,116.00	Professional		$3,660.82	$3,697.44	$10,116.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,953.70 / $5,893.94 / $9,152.08	Facility		$3,953.70	$5,893.94	$9,152.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $6,172.15	Professional		$3,660.83	$3,660.83	$6,172.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $6,223.41	Facility		$3,660.83	$3,660.83	$6,223.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $4,942.12	Professional		$3,660.83	$3,660.83	$4,942.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,453.62 / $3,660.83	Facility		$3,453.62	$3,453.62	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $5,743.63	Professional		$3,660.83	$3,660.83	$5,743.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,453.62 / $3,660.83	Facility		$3,453.62	$3,453.62	$3,660.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $5,743.63	Professional		$3,660.83	$3,660.83	$5,743.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,002.74 / $4,576.03 / $5,276.34	Professional		$4,002.74	$4,576.03	$5,276.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $4,053.03	Professional		$3,660.83	$3,660.83	$4,053.03