Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $4,968.00 / $11,627.00	Facility		$1,409.82	$4,968.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.33 / $1,412.30 / $2,602.52	Professional		$1,299.33	$1,412.30	$2,602.52
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 $1,018.95 / $1,402.75 / $2,341.01	Professional		$1,018.95	$1,402.75	$2,341.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,349.27 / $1,619.12 / $2,004.02	Facility		$1,349.27	$1,619.12	$2,004.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,067.69 / $1,484.20 / $1,754.05	Professional		$1,067.69	$1,484.20	$1,754.05
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 $1,232.83 / $1,830.28 / $2,834.32	Professional		$1,232.83	$1,830.28	$2,834.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,612.09	Facility		$425.00	$600.00	$1,612.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,243.14 / $1,888.98 / $2,828.58	Professional		$1,243.14	$1,888.98	$2,828.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,338.71 / $1,941.77	Professional		$144.20	$1,338.71	$1,941.77
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 $1,220.25 / $1,712.42 / $2,929.41	Professional		$1,220.25	$1,712.42	$2,929.41