Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.65 / $7,682.00 / $11,627.00	Facility		$2,058.65	$7,682.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,937.58 / $2,093.57 / $3,473.34	Professional		$1,937.58	$2,093.57	$3,473.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.38 / $969.22 / $1,732.09	Professional		$716.38	$969.22	$1,732.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,871.96 / $2,692.06 / $3,363.48	Facility		$1,871.96	$2,692.06	$3,363.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,042.29 / $2,317.67 / $3,156.27	Professional		$2,042.29	$2,317.67	$3,156.27
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 $1,511.77 / $2,558.10 / $4,147.76	Professional		$1,511.77	$2,558.10	$4,147.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,354.05	Facility		$425.00	$600.00	$2,354.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $2,631.64 / $4,147.76	Professional		$705.78	$2,631.64	$4,147.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,320.61 / $1,518.70 / $1,904.45	Professional		$1,320.61	$1,518.70	$1,904.45
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 $1,810.86 / $2,588.96 / $4,590.10	Professional		$1,810.86	$2,588.96	$4,590.10