Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.21 / $7,088.80 / $11,627.00	Facility		$2,116.21	$7,088.80	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.91 / $2,116.21 / $3,915.86	Professional		$1,946.91	$2,116.21	$3,915.86
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 $1,302.85 / $1,936.42 / $3,140.70	Professional		$1,302.85	$1,936.42	$3,140.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,024.10 / $2,428.92 / $3,006.31	Facility		$2,024.10	$2,428.92	$3,006.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,704.56 / $2,226.51 / $2,631.33	Professional		$1,704.56	$2,226.51	$2,631.33
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 $1,700.65 / $2,732.54 / $4,266.88	Professional		$1,700.65	$2,732.54	$4,266.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,420.59	Facility		$425.00	$600.00	$2,420.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,842.33 / $2,800.87 / $4,259.96	Professional		$1,842.33	$2,800.87	$4,259.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,762.39 / $2,823.39	Professional		$213.31	$1,762.39	$2,823.39
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 $1,716.81 / $2,464.88 / $4,449.68	Professional		$1,716.81	$2,464.88	$4,449.68