Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.20 / $4,988.00 / $11,627.00	Facility		$1,384.20	$4,988.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.41 / $1,384.20 / $2,555.92	Professional		$1,288.41	$1,384.20	$2,555.92
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 $1,139.08 / $1,480.81 / $2,471.27	Professional		$1,139.08	$1,480.81	$2,471.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,322.55 / $1,587.06 / $1,964.33	Facility		$1,322.55	$1,587.06	$1,964.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,091.08 / $1,454.81 / $1,719.32	Professional		$1,091.08	$1,454.81	$1,719.32
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 $1,307.81 / $1,851.57 / $2,830.25	Professional		$1,307.81	$1,851.57	$2,830.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,584.30	Facility		$425.00	$600.00	$1,584.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,322.55 / $1,861.70 / $2,788.42	Professional		$1,322.55	$1,861.70	$2,788.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,305.09 / $1,890.67	Professional		$144.20	$1,305.09	$1,890.67
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 $1,176.56 / $1,662.38 / $2,949.43	Professional		$1,176.56	$1,662.38	$2,949.43