Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.40 / $5,135.00 / $11,627.00	Facility		$1,451.40	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.90 / $1,452.69 / $2,688.25	Professional		$1,340.90	$1,452.69	$2,688.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $7,614.00 / $14,960.03	Facility		$2,785.00	$7,614.00	$14,960.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.19 / $1,318.53 / $2,168.44	Professional		$920.19	$1,318.53	$2,168.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.60 / $1,663.92 / $2,059.46	Facility		$1,386.60	$1,663.92	$2,059.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,525.26 / $1,802.58	Professional		$1,141.23	$1,525.26	$1,802.58
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 $1,277.03 / $1,927.67 / $2,929.56	Professional		$1,277.03	$1,927.67	$2,929.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,661.76	Facility		$425.00	$600.00	$1,661.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,317.18 / $1,941.24 / $2,929.56	Professional		$1,317.18	$1,941.24	$2,929.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $1,195.88 / $1,914.53	Professional		$144.86	$1,195.88	$1,914.53
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 $1,230.22 / $1,819.34 / $3,076.21	Professional		$1,230.22	$1,819.34	$3,076.21