Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.77 / $6,582.00 / $11,627.00	Facility		$1,830.77	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,727.85 / $1,860.63 / $3,366.31	Professional		$1,727.85	$1,860.63	$3,366.31
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 $1,539.82 / $2,019.52 / $3,340.69	Professional		$1,539.82	$2,019.52	$3,340.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,748.77 / $2,098.52 / $2,597.38	Facility		$1,748.77	$2,098.52	$2,597.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,694.30 / $1,923.65 / $2,273.40	Professional		$1,694.30	$1,923.65	$2,273.40
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 $1,625.49 / $2,448.28 / $3,774.28	Professional		$1,625.49	$2,448.28	$3,774.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,108.35	Facility		$425.00	$600.00	$2,108.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,713.79 / $2,472.11 / $3,677.10	Professional		$1,713.79	$2,472.11	$3,677.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $1,733.08 / $2,511.84	Professional		$180.32	$1,733.08	$2,511.84
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 $1,623.83 / $2,256.56 / $3,918.38	Professional		$1,623.83	$2,256.56	$3,918.38