Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.40 / $4,800.00 / $11,627.00	Facility		$1,323.40	$4,800.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,324.09 / $2,444.10	Professional		$1,218.47	$1,324.09	$2,444.10
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 $1,107.71 / $1,464.72 / $2,403.21	Professional		$1,107.71	$1,464.72	$2,403.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,265.61 / $1,518.74 / $1,879.78	Facility		$1,265.61	$1,518.74	$1,879.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,234.19 / $1,392.18 / $1,645.31	Professional		$1,234.19	$1,392.18	$1,645.31
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 $1,262.25 / $1,771.87 / $2,708.43	Professional		$1,262.25	$1,771.87	$2,708.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,514.70	Facility		$425.00	$600.00	$1,514.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,265.61 / $1,782.18 / $2,665.56	Professional		$1,265.61	$1,782.18	$2,665.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,261.48 / $1,822.66	Professional		$144.20	$1,261.48	$1,822.66
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 $1,162.84 / $1,642.16 / $2,792.13	Professional		$1,162.84	$1,642.16	$2,792.13