Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.34 / $4,723.00 / $11,627.00	Facility		$1,280.34	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,280.34 / $2,360.86	Professional		$1,175.84	$1,280.34	$2,360.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,621.12	Facility		$2,785.00	$8,239.18	$15,621.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.73 / $1,348.64 / $2,253.39	Professional		$999.73	$1,348.64	$2,253.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.72 / $1,470.86 / $1,820.51	Facility		$1,225.72	$1,470.86	$1,820.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.29 / $1,348.29 / $1,593.44	Professional		$1,348.29	$1,348.29	$1,593.44
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 $1,126.80 / $1,671.48 / $2,574.00	Professional		$1,126.80	$1,671.48	$2,574.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,463.94	Facility		$425.00	$600.00	$1,463.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,177.56 / $1,716.00 / $2,562.46	Professional		$1,177.56	$1,716.00	$2,562.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,052.16 / $1,685.25	Professional		$112.40	$1,052.16	$1,685.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.38 / $1,547.21 / $2,716.26	Professional		$1,100.38	$1,547.21	$2,716.26