Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $6,264.00 / $11,627.00	Facility		$1,646.00	$6,264.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.52 / $1,646.00 / $3,035.76	Professional		$1,483.52	$1,646.00	$3,035.76
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 $1,337.41 / $1,864.76 / $2,988.85	Professional		$1,337.41	$1,864.76	$2,988.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,575.42 / $1,890.50 / $2,339.91	Facility		$1,575.42	$1,890.50	$2,339.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,367.24 / $1,732.96 / $2,048.05	Professional		$1,367.24	$1,732.96	$2,048.05
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 $1,428.16 / $2,152.06 / $3,315.12	Professional		$1,428.16	$2,152.06	$3,315.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,882.07	Facility		$425.00	$600.00	$1,882.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,473.01 / $2,205.58 / $3,276.62	Professional		$1,473.01	$2,205.58	$3,276.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $1,370.62 / $2,180.56	Professional		$153.08	$1,370.62	$2,180.56
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 $1,368.23 / $1,965.29 / $3,440.45	Professional		$1,368.23	$1,965.29	$3,440.45