Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.65 / $5,135.00 / $11,627.00	Facility		$1,440.65	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.08 / $1,444.17 / $2,656.03	Professional		$1,336.08	$1,444.17	$2,656.03
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 $1,170.39 / $1,542.16 / $2,547.32	Professional		$1,170.39	$1,542.16	$2,547.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.50 / $1,653.00 / $2,045.95	Facility		$1,377.50	$1,653.00	$2,045.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,226.08 / $1,515.25 / $1,790.75	Professional		$1,226.08	$1,515.25	$1,790.75
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 $1,269.59 / $1,911.84 / $2,899.35	Professional		$1,269.59	$1,911.84	$2,899.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,648.58	Facility		$425.00	$600.00	$1,648.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,287.96 / $1,928.50 / $2,899.35	Professional		$1,287.96	$1,928.50	$2,899.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,347.83 / $1,973.28	Professional		$144.20	$1,347.83	$1,973.28
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 $1,232.73 / $1,765.48 / $3,060.47	Professional		$1,232.73	$1,765.48	$3,060.47