Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.34 / $4,723.00 / $11,627.00	Facility		$1,108.34	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.31 / $1,115.13 / $2,056.37	Professional		$1,043.31	$1,115.13	$2,056.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.59 / $1,376.29 / $2,319.21	Professional		$1,095.59	$1,376.29	$2,319.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,058.69 / $1,270.43 / $1,572.44	Facility		$1,058.69	$1,270.43	$1,572.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.28 / $1,164.56 / $1,376.30	Professional		$904.28	$1,164.56	$1,376.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,268.99	Facility		$425.00	$581.00	$1,268.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.42 / $1,553.39 / $2,354.58	Professional		$1,049.42	$1,553.39	$2,354.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,268.99	Facility		$425.00	$562.00	$1,268.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,058.69 / $1,597.33 / $2,369.09	Professional		$1,058.69	$1,597.33	$2,369.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,053.38 / $1,532.27	Professional		$108.28	$1,053.38	$1,532.27
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 $1,000.04 / $1,450.00 / $2,423.36	Professional		$1,000.04	$1,450.00	$2,423.36