Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,723.00 / $11,627.00	Facility		$1,055.00	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $1,056.55 / $1,944.20	Professional		$974.52	$1,056.55	$1,944.20
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 $884.75 / $1,160.38 / $1,919.50	Professional		$884.75	$1,160.38	$1,919.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,009.67 / $1,211.59 / $1,499.63	Facility		$1,009.67	$1,211.59	$1,499.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.85 / $1,110.64 / $1,312.57	Professional		$871.85	$1,110.64	$1,312.57
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 $928.16 / $1,398.90 / $2,126.69	Professional		$928.16	$1,398.90	$2,126.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,207.13	Facility		$425.00	$600.00	$1,207.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $989.48 / $1,419.40 / $2,120.96	Professional		$989.48	$1,419.40	$2,120.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $1,008.04 / $1,458.16	Professional		$108.15	$1,008.04	$1,458.16
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 $923.19 / $1,259.01 / $2,215.59	Professional		$923.19	$1,259.01	$2,215.59