Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,783.94 / $6,582.00 / $11,627.00	Facility		$1,783.94	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.96 / $1,842.88 / $3,376.08	Professional		$1,675.96	$1,842.88	$3,376.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,446.55 / $12,695.35	Facility		$2,644.00	$6,446.55	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,506.85 / $1,985.50 / $3,269.16	Professional		$1,506.85	$1,985.50	$3,269.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,705.89 / $2,047.07 / $2,533.69	Facility		$1,705.89	$2,047.07	$2,533.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,697.77 / $1,876.48 / $2,217.66	Professional		$1,697.77	$1,876.48	$2,217.66
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 $1,623.68 / $2,388.23 / $3,663.85	Professional		$1,623.68	$2,388.23	$3,663.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,055.25	Facility		$425.00	$600.00	$2,055.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,671.77 / $2,454.00 / $3,663.85	Professional		$1,671.77	$2,454.00	$3,663.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $1,496.32 / $2,361.29	Professional		$144.21	$1,496.32	$2,361.29
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 $1,596.94 / $2,292.25 / $3,975.15	Professional		$1,596.94	$2,292.25	$3,975.15