Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.51 / $4,833.00 / $11,627.00	Facility		$1,084.51	$4,833.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,085.54 / $1,967.30	Professional		$1,016.31	$1,085.54	$1,967.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,734.14 / $24,478.90	Facility		$2,802.00	$13,734.14	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.54 / $1,313.84 / $2,100.83	Professional		$975.54	$1,313.84	$2,100.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.06 / $1,243.27 / $1,538.81	Facility		$1,036.06	$1,243.27	$1,538.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,139.67 / $1,139.67 / $1,346.88	Professional		$1,139.67	$1,139.67	$1,346.88
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 $935.34 / $1,458.78 / $2,217.16	Professional		$935.34	$1,458.78	$2,217.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,246.67	Facility		$425.00	$600.00	$1,246.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,015.34 / $1,485.52 / $2,157.15	Professional		$1,015.34	$1,485.52	$2,157.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,024.33 / $1,499.05	Professional		$108.28	$1,024.33	$1,499.05
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 $947.99 / $1,305.81 / $2,254.71	Professional		$947.99	$1,305.81	$2,254.71