Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,278.66 / $7,673.09 / $11,627.00	Facility		$2,278.66	$7,673.09	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.82 / $2,290.31 / $4,241.68	Professional		$2,101.82	$2,290.31	$4,241.68
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 $1,688.21 / $2,295.59 / $3,784.84	Professional		$1,688.21	$2,295.59	$3,784.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,176.58 / $2,611.90 / $3,232.79	Facility		$2,176.58	$2,611.90	$3,232.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,652.01 / $2,394.23 / $2,829.55	Professional		$1,652.01	$2,394.23	$2,829.55
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 $1,926.96 / $2,961.18 / $4,622.80	Professional		$1,926.96	$2,961.18	$4,622.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,605.12	Facility		$425.00	$600.00	$2,605.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,999.03 / $3,047.21 / $4,608.03	Professional		$1,999.03	$3,047.21	$4,608.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,908.69 / $3,060.62	Professional		$213.31	$1,908.69	$3,060.62
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 $1,917.29 / $2,797.31 / $4,838.21	Professional		$1,917.29	$2,797.31	$4,838.21