Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.54 / $7,712.48 / $11,627.00	Facility		$2,300.54	$7,712.48	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.42 / $2,300.54 / $4,259.49	Professional		$2,115.42	$2,300.54	$4,259.49
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 $1,665.95 / $2,273.54 / $3,700.38	Professional		$1,665.95	$2,273.54	$3,700.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,200.25 / $2,640.30 / $3,267.94	Facility		$2,200.25	$2,640.30	$3,267.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,752.31 / $2,420.28 / $2,860.33	Professional		$1,752.31	$2,420.28	$2,860.33
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 $1,957.18 / $2,976.23 / $4,656.68	Professional		$1,957.18	$2,976.23	$4,656.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,631.54	Facility		$425.00	$600.00	$2,631.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,988.75 / $3,080.35 / $4,633.76	Professional		$1,988.75	$3,080.35	$4,633.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $2,162.78 / $3,140.73	Professional		$252.55	$2,162.78	$3,140.73
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 $1,949.70 / $2,836.65 / $5,200.76	Professional		$1,949.70	$2,836.65	$5,200.76