Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.40 / $5,200.00 / $11,627.00	Facility		$1,519.40	$5,200.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.86 / $1,540.18 / $2,777.94	Professional		$1,417.86	$1,540.18	$2,777.94
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 $1,263.55 / $1,642.61 / $2,741.30	Professional		$1,263.55	$1,642.61	$2,741.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.98 / $1,743.58 / $2,158.06	Facility		$1,452.98	$1,743.58	$2,158.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,291.11 / $1,598.28 / $1,888.87	Professional		$1,291.11	$1,598.28	$1,888.87
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 $1,341.01 / $2,034.17 / $3,051.26	Professional		$1,341.01	$2,034.17	$3,051.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,749.91	Facility		$425.00	$600.00	$1,749.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,423.92 / $2,043.57 / $3,034.42	Professional		$1,423.92	$2,043.57	$3,034.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $1,263.53 / $2,024.16	Professional		$111.24	$1,263.53	$2,024.16
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 $1,340.69 / $1,825.59 / $3,201.07	Professional		$1,340.69	$1,825.59	$3,201.07