Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,752.90 / $8,956.00 / $12,747.30	Facility		$3,752.90	$8,956.00	$12,747.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,433.78 / $3,754.76 / $6,962.19	Professional		$3,433.78	$3,754.76	$6,962.19
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 $1,553.09 / $2,334.61 / $5,033.91	Professional		$1,553.09	$2,334.61	$5,033.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,582.73 / $4,299.28 / $5,321.28	Facility		$3,582.73	$4,299.28	$5,321.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,742.64 / $3,941.00 / $4,657.55	Professional		$2,742.64	$3,941.00	$4,657.55
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 $2,313.76 / $4,870.95 / $7,583.45	Professional		$2,313.76	$4,870.95	$7,583.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $4,297.76	Facility		$425.00	$600.00	$4,297.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,478.71 / $5,007.20 / $7,583.45	Professional		$2,478.71	$5,007.20	$7,583.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.08 / $3,119.71 / $4,983.13	Professional		$357.08	$3,119.71	$4,983.13
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 $3,071.79 / $4,388.27 / $7,993.57	Professional		$3,071.79	$4,388.27	$7,993.57