Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,801.53 / $6,582.00 / $11,627.00	Facility		$1,801.53	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.46 / $1,801.53 / $3,326.43	Professional		$1,657.46	$1,801.53	$3,326.43
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 $1,400.43 / $1,894.70 / $3,103.50	Professional		$1,400.43	$1,894.70	$3,103.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,724.17 / $2,069.00 / $2,560.85	Facility		$1,724.17	$2,069.00	$2,560.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,896.59 / $1,896.59 / $2,241.42	Professional		$1,896.59	$1,896.59	$2,241.42
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 $1,588.39 / $2,359.17 / $3,627.02	Professional		$1,588.39	$2,359.17	$3,627.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,060.11	Facility		$425.00	$600.00	$2,060.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,612.10 / $2,413.84 / $3,609.58	Professional		$1,612.10	$2,413.84	$3,609.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,496.87 / $2,420.70	Professional		$178.54	$1,496.87	$2,420.70
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 $1,529.87 / $2,137.78 / $3,803.84	Professional		$1,529.87	$2,137.78	$3,803.84