Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.39 / $6,534.45 / $11,627.00	Facility		$1,974.39	$6,534.45	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.66 / $1,975.31 / $3,652.20	Professional		$1,817.66	$1,975.31	$3,652.20
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 $1,557.07 / $2,077.96 / $3,378.11	Professional		$1,557.07	$2,077.96	$3,378.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,889.07 / $2,266.88 / $2,805.76	Facility		$1,889.07	$2,266.88	$2,805.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,528.32 / $2,077.98 / $2,455.79	Professional		$1,528.32	$2,077.98	$2,455.79
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 $1,747.57 / $2,596.69 / $3,995.89	Professional		$1,747.57	$2,596.69	$3,995.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,258.30	Facility		$425.00	$600.00	$2,258.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,747.57 / $2,644.70 / $3,975.44	Professional		$1,747.57	$2,644.70	$3,975.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,883.27 / $2,728.94	Professional		$216.49	$1,883.27	$2,728.94
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 $1,671.38 / $2,312.19 / $4,171.54	Professional		$1,671.38	$2,312.19	$4,171.54