Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.33 / $7,188.12 / $11,627.00	Facility		$2,072.33	$7,188.12	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.05 / $2,104.13 / $3,801.65	Professional		$1,938.05	$2,104.13	$3,801.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.00 / $13,621.30 / $25,522.00	Facility		$3,501.00	$13,621.30	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.46 / $2,055.92 / $3,597.87	Professional		$1,340.46	$2,055.92	$3,597.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,979.70 / $2,375.64 / $2,940.37	Facility		$1,979.70	$2,375.64	$2,940.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,968.94 / $2,177.67 / $2,573.61	Professional		$1,968.94	$2,177.67	$2,573.61
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 $1,834.29 / $2,771.58 / $4,275.09	Professional		$1,834.29	$2,771.58	$4,275.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,385.92	Facility		$425.00	$600.00	$2,385.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,873.18 / $2,827.94 / $4,152.64	Professional		$1,873.18	$2,827.94	$4,152.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $1,723.90 / $2,770.20	Professional		$189.09	$1,723.90	$2,770.20
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 $1,833.81 / $2,550.73 / $4,538.25	Professional		$1,833.81	$2,550.73	$4,538.25