Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.03 / $5,135.00 / $11,627.00	Facility		$1,517.03	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,399.18 / $1,519.85 / $2,802.62	Professional		$1,399.18	$1,519.85	$2,802.62
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 $1,193.39 / $1,603.35 / $2,623.72	Professional		$1,193.39	$1,603.35	$2,623.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,451.70 / $1,742.04 / $2,156.15	Facility		$1,451.70	$1,742.04	$2,156.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.25 / $1,596.87 / $1,887.21	Professional		$1,171.25	$1,596.87	$1,887.21
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 $1,328.48 / $2,014.70 / $3,065.91	Professional		$1,328.48	$2,014.70	$3,065.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,734.82	Facility		$425.00	$600.00	$1,734.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,338.81 / $2,032.38 / $3,061.37	Professional		$1,338.81	$2,032.38	$3,061.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $1,264.33 / $2,045.24	Professional		$144.86	$1,264.33	$2,045.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.46 / $1,814.71 / $3,294.57	Professional		$1,274.46	$1,814.71	$3,294.57