Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.38 / $5,135.00 / $11,627.00	Facility		$1,307.38	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.45 / $1,307.38 / $2,410.78	Professional		$1,202.45	$1,307.38	$2,410.78
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 $1,003.48 / $1,352.25 / $2,192.81	Professional		$1,003.48	$1,352.25	$2,192.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.08 / $1,502.51 / $1,859.69	Facility		$1,252.08	$1,502.51	$1,859.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,034.11 / $1,377.30 / $1,627.72	Professional		$1,034.11	$1,377.30	$1,627.72
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 $1,141.85 / $1,712.54 / $2,636.98	Professional		$1,141.85	$1,712.54	$2,636.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,494.88	Facility		$425.00	$600.00	$1,494.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,151.55 / $1,752.93 / $2,617.83	Professional		$1,151.55	$1,752.93	$2,617.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,259.49 / $1,825.29	Professional		$144.20	$1,259.49	$1,825.29
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 $1,097.66 / $1,553.91 / $2,775.90	Professional		$1,097.66	$1,553.91	$2,775.90