Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.64 / $4,723.00 / $11,627.00	Facility		$1,187.64	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.02 / $1,187.64 / $2,166.65	Professional		$1,050.02	$1,187.64	$2,166.65
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 $912.05 / $1,233.95 / $2,038.70	Professional		$912.05	$1,233.95	$2,038.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,137.76 / $1,365.31 / $1,689.87	Facility		$1,137.76	$1,365.31	$1,689.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,013.90 / $1,251.54 / $1,479.09	Professional		$1,013.90	$1,251.54	$1,479.09
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 $1,033.19 / $1,548.33 / $2,389.30	Professional		$1,033.19	$1,548.33	$2,389.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,357.84	Facility		$425.00	$600.00	$1,357.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,045.58 / $1,592.87 / $2,360.79	Professional		$1,045.58	$1,592.87	$2,360.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $993.84 / $1,594.26	Professional		$112.40	$993.84	$1,594.26
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 $991.74 / $1,369.28 / $2,479.36	Professional		$991.74	$1,369.28	$2,479.36