Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.21 / $4,847.00 / $11,627.00	Facility		$1,375.21	$4,847.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.71 / $1,377.59 / $2,538.32	Professional		$1,266.71	$1,377.59	$2,538.32
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 $1,046.32 / $1,427.92 / $2,364.91	Professional		$1,046.32	$1,427.92	$2,364.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.34 / $1,579.61 / $1,955.12	Facility		$1,316.34	$1,579.61	$1,955.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,160.75 / $1,447.97 / $1,711.24	Professional		$1,160.75	$1,447.97	$1,711.24
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 $1,212.05 / $1,800.96 / $2,777.31	Professional		$1,212.05	$1,800.96	$2,777.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,572.50	Facility		$425.00	$600.00	$1,572.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,230.78 / $1,842.88 / $2,772.67	Professional		$1,230.78	$1,842.88	$2,772.67
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 $1,176.16 / $1,639.83 / $2,921.75	Professional		$1,176.16	$1,639.83	$2,921.75