Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.97 / $4,743.00 / $11,627.00	Facility		$1,316.97	$4,743.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.95 / $1,319.99 / $2,444.69	Professional		$1,237.95	$1,319.99	$2,444.69
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 $1,263.24 / $1,631.18 / $2,685.65	Professional		$1,263.24	$1,631.18	$2,685.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.69 / $1,508.03 / $1,866.51	Facility		$1,256.69	$1,508.03	$1,866.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,039.10 / $1,382.36 / $1,633.70	Professional		$1,039.10	$1,382.36	$1,633.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,507.97	Facility		$425.00	$581.00	$1,507.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.48 / $1,815.27 / $2,796.92	Professional		$1,209.48	$1,815.27	$2,796.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,507.97	Facility		$425.00	$562.00	$1,507.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,236.96 / $1,891.23 / $2,779.34	Professional		$1,236.96	$1,891.23	$2,779.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,253.12 / $1,815.27	Professional		$144.20	$1,253.12	$1,815.27
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 $1,188.70 / $1,707.32 / $2,826.78	Professional		$1,188.70	$1,707.32	$2,826.78