Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.40 / $7,277.17 / $11,627.00	Facility		$2,167.40	$7,277.17	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.96 / $2,179.03 / $4,024.90	Professional		$1,999.96	$2,179.03	$4,024.90
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 $1,734.73 / $2,288.96 / $3,763.54	Professional		$1,734.73	$2,288.96	$3,763.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,071.46 / $2,485.76 / $3,076.67	Facility		$2,071.46	$2,485.76	$3,076.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,808.91 / $2,278.62 / $2,692.91	Professional		$1,808.91	$2,278.62	$2,692.91
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 $1,922.96 / $2,868.61 / $4,391.20	Professional		$1,922.96	$2,868.61	$4,391.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,477.98	Facility		$425.00	$600.00	$2,477.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,936.82 / $2,900.06 / $4,364.95	Professional		$1,936.82	$2,900.06	$4,364.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,810.33 / $2,910.72	Professional		$213.31	$1,810.33	$2,910.72
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 $1,845.48 / $2,601.65 / $4,563.51	Professional		$1,845.48	$2,601.65	$4,563.51