Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.71 / $8,553.00 / $25,600.97	Facility		$2,118.71	$8,553.00	$25,600.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,015.83 / $2,186.84 / $3,907.64	Professional		$2,015.83	$2,186.84	$3,907.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,811.09 / $24,478.90	Facility		$2,802.00	$13,811.09	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,837.30 / $2,411.00 / $3,968.96	Professional		$1,837.30	$2,411.00	$3,968.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,015.01 / $2,418.01 / $2,992.81	Facility		$2,015.01	$2,418.01	$2,992.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,784.45 / $2,216.51 / $2,619.51	Professional		$1,784.45	$2,216.51	$2,619.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,813.21 / $4,266.31	Professional		$1,843.25	$2,813.21	$4,266.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,429.19	Facility		$425.00	$600.00	$2,429.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,848.44 / $2,821.01 / $4,266.31	Professional		$1,848.44	$2,821.01	$4,266.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $2,002.76 / $2,949.21	Professional		$216.75	$2,002.76	$2,949.21
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,801.02 / $2,563.19 / $4,399.95	Professional		$1,801.02	$2,563.19	$4,399.95