Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $7,219.20 / $8,017.92	Facility		$3,072.00	$7,219.20	$8,017.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,264.00	Professional		$3,072.00	$3,072.00	$3,264.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $3,347.71 / $7,488.00	Facility		$2,015.91	$3,347.71	$7,488.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,680.00 / $6,385.60	Professional		$3,200.00	$3,680.00	$6,385.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,948.28 / $51,481.98 / $62,922.42	Facility		$41,948.28	$51,481.98	$62,922.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,366.00	Facility		$3,264.00	$3,264.00	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $3,366.00 / $3,366.00	Facility		$3,366.00	$3,366.00	$3,366.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,840.00	Professional		$3,264.00	$3,264.00	$3,840.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28,248.00 / $31,072.80 / $31,072.80	Professional		$28,248.00	$31,072.80	$31,072.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,192.00	Professional		$3,200.00	$3,200.00	$4,192.00