Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.48 / $5,135.00 / $11,627.00	Facility		$1,429.48	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.95 / $1,454.06 / $2,654.56	Professional		$1,354.95	$1,454.06	$2,654.56
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 $1,384.29 / $1,772.81 / $2,943.00	Professional		$1,384.29	$1,772.81	$2,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.84 / $1,637.81 / $2,027.14	Facility		$1,364.84	$1,637.81	$2,027.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,140.18 / $1,501.32 / $1,774.29	Professional		$1,140.18	$1,501.32	$1,774.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,636.73	Facility		$425.00	$581.00	$1,636.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.16 / $1,984.85 / $3,071.04	Professional		$1,271.16	$1,984.85	$3,071.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,636.73	Facility		$425.00	$562.00	$1,636.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,337.54 / $2,060.14 / $3,116.24	Professional		$1,337.54	$2,060.14	$3,116.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $1,190.47 / $1,905.29	Professional		$144.78	$1,190.47	$1,905.29
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 $1,289.32 / $1,853.80 / $3,064.54	Professional		$1,289.32	$1,853.80	$3,064.54