Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.87 / $5,347.00 / $11,627.00	Facility		$1,567.87	$5,347.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $1,568.39 / $2,911.43	Professional		$1,462.09	$1,568.39	$2,911.43
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 $1,449.68 / $1,941.71 / $3,280.84	Professional		$1,449.68	$1,941.71	$3,280.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,495.93 / $1,795.12 / $2,221.84	Facility		$1,495.93	$1,795.12	$2,221.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.52 / $1,645.52 / $1,944.71	Professional		$1,645.52	$1,645.52	$1,944.71
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 $1,480.03 / $2,169.10 / $3,291.57	Professional		$1,480.03	$2,169.10	$3,291.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,795.73	Facility		$425.00	$600.00	$1,795.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,495.93 / $2,246.12 / $3,234.76	Professional		$1,495.93	$2,246.12	$3,234.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $1,479.23 / $2,129.47	Professional		$183.76	$1,479.23	$2,129.47
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 $1,416.32 / $1,973.94 / $3,374.11	Professional		$1,416.32	$1,973.94	$3,374.11