Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,278.64 / $3,278.64 / $7,738.00	Facility		$3,278.64	$3,278.64	$7,738.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,974.48 / $3,278.64 / $4,606.22	Professional		$2,974.48	$3,278.64	$4,606.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,305.06 / $7,386.12 / $19,136.75	Facility		$6,305.06	$7,386.12	$19,136.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,364.07 / $3,676.92 / $8,729.04	Professional		$3,364.07	$3,676.92	$8,729.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,760.93 / $6,714.65 / $9,064.78	Facility		$4,760.93	$6,714.65	$9,064.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,364.52 / $6,043.19 / $14,377.41	Professional		$4,364.52	$6,043.19	$14,377.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,964.67	Facility		$3,790.37	$3,790.37	$7,964.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $4,842.20	Professional		$2,766.97	$2,766.97	$4,842.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $3,790.37	Professional		$2,766.97	$3,790.37	$3,790.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,443.68 / $4,735.06 / $6,207.66	Professional		$3,443.68	$4,735.06	$6,207.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,233.23 / $3,349.87 / $4,799.60	Professional		$2,233.23	$3,349.87	$4,799.60