Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,616.00 / $10,817.74	Facility		$1,610.00	$5,616.00	$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 $1,938.00 / $4,313.00 / $25,522.00	Facility		$1,938.00	$4,313.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.28 / $1,345.03 / $2,230.89	Professional		$1,028.28	$1,345.03	$2,230.89
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 $976.49 / $1,341.01 / $1,584.83	Professional		$976.49	$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 $112.40 / $1,063.76 / $1,714.19	Professional		$112.40	$1,063.76	$1,714.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $10,075.00	Facility		$1,050.00	$6,227.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.95 / $1,543.47 / $2,703.33	Professional		$1,087.95	$1,543.47	$2,703.33