Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,542.73 / $8,495.79 / $11,627.00	Facility		$2,542.73	$8,495.79	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,336.55 / $2,542.73 / $4,655.52	Professional		$2,336.55	$2,542.73	$4,655.52
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 $2,090.09 / $2,754.01 / $4,534.53	Professional		$2,090.09	$2,754.01	$4,534.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,437.39 / $2,924.87 / $3,620.16	Facility		$2,437.39	$2,924.87	$3,620.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,051.34 / $2,681.13 / $3,168.61	Professional		$2,051.34	$2,681.13	$3,168.61
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 $2,245.01 / $3,365.40 / $5,118.51	Professional		$2,245.01	$3,365.40	$5,118.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,910.22	Facility		$425.00	$600.00	$2,910.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,261.13 / $3,412.34 / $5,085.33	Professional		$2,261.13	$3,412.34	$5,085.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $2,439.08 / $3,521.62	Professional		$252.55	$2,439.08	$3,521.62
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 $2,190.21 / $3,086.07 / $5,358.95	Professional		$2,190.21	$3,086.07	$5,358.95