Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.42 / $7,164.53 / $11,627.00	Facility		$2,131.42	$7,164.53	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,966.50 / $2,143.19 / $3,963.17	Professional		$1,966.50	$2,143.19	$3,963.17
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 $1,416.26 / $1,944.46 / $3,407.94	Professional		$1,416.26	$1,944.46	$3,407.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,035.98 / $2,443.17 / $3,023.96	Facility		$2,035.98	$2,443.17	$3,023.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,599.61 / $2,239.58 / $2,646.77	Professional		$1,599.61	$2,239.58	$2,646.77
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 $1,695.04 / $2,750.18 / $4,289.66	Professional		$1,695.04	$2,750.18	$4,289.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,436.71	Facility		$425.00	$600.00	$2,436.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,832.38 / $2,837.14 / $4,282.67	Professional		$1,832.38	$2,837.14	$4,282.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $2,018.33 / $2,937.85	Professional		$216.49	$2,018.33	$2,937.85
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 $1,749.32 / $2,554.32 / $4,492.22	Professional		$1,749.32	$2,554.32	$4,492.22