Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.82 / $5,135.00 / $11,627.00	Facility		$1,463.82	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.14 / $1,463.82 / $2,710.36	Professional		$1,343.14	$1,463.82	$2,710.36
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 $1,331.36 / $1,856.17 / $2,968.01	Professional		$1,331.36	$1,856.17	$2,968.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,398.43 / $1,678.12 / $2,077.03	Facility		$1,398.43	$1,678.12	$2,077.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,538.27 / $1,538.27 / $1,817.96	Professional		$1,538.27	$1,538.27	$1,817.96
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 $1,381.84 / $1,991.14 / $3,032.21	Professional		$1,381.84	$1,991.14	$3,032.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,675.90	Facility		$425.00	$600.00	$1,675.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,398.43 / $2,055.69 / $2,992.65	Professional		$1,398.43	$2,055.69	$2,992.65
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 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.62 / $1,801.54 / $3,097.74	Professional		$1,316.62	$1,801.54	$3,097.74