Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.78 / $6,582.00 / $11,627.00	Facility		$1,703.78	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.32 / $1,703.78 / $3,149.00	Professional		$1,569.32	$1,703.78	$3,149.00
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 $1,366.42 / $1,803.68 / $2,964.50	Professional		$1,366.42	$1,803.68	$2,964.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,629.45 / $1,955.34 / $2,420.16	Facility		$1,629.45	$1,955.34	$2,420.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,396.76 / $1,792.40 / $2,118.29	Professional		$1,396.76	$1,792.40	$2,118.29
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 $1,505.96 / $2,246.55 / $3,445.12	Professional		$1,505.96	$2,246.55	$3,445.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,948.55	Facility		$425.00	$600.00	$1,948.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,518.52 / $2,281.23 / $3,431.63	Professional		$1,518.52	$2,281.23	$3,431.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,414.26 / $2,262.74	Professional		$178.54	$1,414.26	$2,262.74
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 $1,441.27 / $1,991.51 / $3,573.89	Professional		$1,441.27	$1,991.51	$3,573.89