Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,465.19 / $7,155.00 / $11,627.00	Facility		$3,465.19	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,465.19	Professional		$1,987.50	$1,987.50	$3,465.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $8,384.03 / $16,279.28	Facility		$2,802.00	$8,384.03	$16,279.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.39 / $855.75 / $1,354.48	Professional		$629.39	$855.75	$1,354.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $21,571.00	Facility		$425.00	$600.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $445.55 / $705.53	Professional		$259.00	$445.55	$705.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $1,200.00	Facility		$425.00	$425.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $445.55 / $705.53	Professional		$280.00	$445.55	$705.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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