Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.29 / $5,317.00 / $11,627.00	Facility		$1,392.29	$5,317.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.48 / $1,432.57 / $2,641.17	Professional		$1,285.48	$1,432.57	$2,641.17
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 $1,103.07 / $1,472.69 / $2,439.75	Professional		$1,103.07	$1,472.69	$2,439.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,332.90 / $1,599.48 / $1,979.70	Facility		$1,332.90	$1,599.48	$1,979.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.30 / $1,466.19 / $1,732.77	Professional		$1,127.30	$1,466.19	$1,732.77
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 $1,227.80 / $1,842.73 / $2,811.87	Professional		$1,227.80	$1,842.73	$2,811.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,592.05	Facility		$425.00	$600.00	$1,592.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,241.90 / $1,866.06 / $2,806.85	Professional		$1,241.90	$1,866.06	$2,806.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,319.95 / $1,914.43	Professional		$144.20	$1,319.95	$1,914.43
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 $1,186.70 / $1,648.41 / $2,930.85	Professional		$1,186.70	$1,648.41	$2,930.85