Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.67 / $4,723.00 / $11,627.00	Facility		$1,288.67	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,288.73 / $2,372.25	Professional		$1,188.67	$1,288.73	$2,372.25
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 $1,126.59 / $1,490.89 / $2,444.19	Professional		$1,126.59	$1,490.89	$2,444.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,478.64 / $1,830.13	Facility		$1,232.20	$1,478.64	$1,830.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,272.23 / $1,355.42 / $1,601.86	Professional		$1,272.23	$1,355.42	$1,601.86
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 $1,228.76 / $1,725.08 / $2,636.91	Professional		$1,228.76	$1,725.08	$2,636.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,474.51	Facility		$425.00	$600.00	$1,474.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,232.20 / $1,748.86 / $2,591.27	Professional		$1,232.20	$1,748.86	$2,591.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,072.53 / $1,725.22	Professional		$112.40	$1,072.53	$1,725.22
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 $1,128.68 / $1,589.34 / $2,910.00	Professional		$1,128.68	$1,589.34	$2,910.00