Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,135.00 / $10,817.74	Facility		$1,610.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.30 / $1,278.04 / $2,351.10	Professional		$1,149.30	$1,278.04	$2,351.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.00 / $13,743.00 / $25,522.00	Facility		$3,501.00	$13,743.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.94 / $1,345.03 / $2,230.16	Professional		$1,027.94	$1,345.03	$2,230.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.09 / $1,462.92 / $1,810.68	Facility		$1,219.09	$1,462.92	$1,810.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.97 / $1,341.01 / $1,584.83	Professional		$976.97	$1,341.01	$1,584.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,455.76	Facility		$425.00	$581.00	$1,455.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.33 / $1,685.34 / $2,572.92	Professional		$1,121.33	$1,685.34	$2,572.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,455.76	Facility		$425.00	$562.00	$1,455.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,139.85 / $1,706.74 / $2,560.11	Professional		$1,139.85	$1,706.74	$2,560.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $1,087.80 / $1,742.05	Professional		$76.37	$1,087.80	$1,742.05
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,460.00 / $7,853.00	Facility		$925.00	$5,460.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.33 / $1,517.09 / $2,676.68	Professional		$1,076.33	$1,517.09	$2,676.68