Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.32 / $5,135.00 / $11,627.00	Facility		$1,201.32	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.98 / $1,202.76 / $2,213.65	Professional		$1,103.98	$1,202.76	$2,213.65
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 $906.00 / $1,236.43 / $2,036.43	Professional		$906.00	$1,236.43	$2,036.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.47 / $1,380.56 / $1,708.75	Facility		$1,150.47	$1,380.56	$1,708.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $973.82 / $1,265.52 / $1,495.61	Professional		$973.82	$1,265.52	$1,495.61
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 $1,049.55 / $1,560.93 / $2,415.98	Professional		$1,049.55	$1,560.93	$2,415.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,373.52	Facility		$425.00	$600.00	$1,373.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,057.10 / $1,610.65 / $2,399.80	Professional		$1,057.10	$1,610.65	$2,399.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $999.76 / $1,621.00	Professional		$112.40	$999.76	$1,621.00
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 $1,013.69 / $1,431.34 / $2,547.89	Professional		$1,013.69	$1,431.34	$2,547.89