Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $5,659.71 / $7,980.97	Facility		$2,608.16	$5,659.71	$7,980.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,608.16 / $3,256.18	Professional		$2,543.89	$2,608.16	$3,256.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,816.81 / $4,472.99 / $7,433.26	Facility		$2,816.81	$4,472.99	$7,433.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,921.13 / $4,356.39	Professional		$2,608.16	$2,921.13	$4,356.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,920.37	Facility		$2,608.16	$2,608.16	$3,920.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,521.02	Professional		$2,608.16	$2,608.16	$3,521.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $3,010.31	Facility		$2,460.53	$2,608.16	$3,010.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,541.54	Professional		$2,608.16	$2,608.16	$3,541.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $3,524.96	Facility		$2,460.53	$2,608.16	$3,524.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,690.79	Professional		$2,608.16	$2,608.16	$3,690.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,999.38 / $3,688.64	Professional		$2,608.16	$2,999.38	$3,688.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.58 / $3,261.58 / $3,261.58	Facility		$3,261.58	$3,261.58	$3,261.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,193.77	Professional		$2,608.16	$2,608.16	$3,193.77