Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.44 / $6,452.00 / $11,627.00	Facility		$1,844.44	$6,452.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,740.17 / $1,874.39 / $3,389.81	Professional		$1,740.17	$1,874.39	$3,389.81
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 $1,541.20 / $2,037.30 / $3,345.50	Professional		$1,541.20	$2,037.30	$3,345.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,760.79 / $2,112.94 / $2,615.23	Facility		$1,760.79	$2,112.94	$2,615.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,708.19 / $1,936.87 / $2,289.03	Professional		$1,708.19	$1,936.87	$2,289.03
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 $1,674.20 / $2,465.11 / $3,768.10	Professional		$1,674.20	$2,465.11	$3,768.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,124.06	Facility		$425.00	$600.00	$2,124.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,725.58 / $2,490.10 / $3,697.10	Professional		$1,725.58	$2,490.10	$3,697.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $1,742.94 / $2,545.19	Professional		$180.32	$1,742.94	$2,545.19
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 $1,629.21 / $2,274.04 / $4,024.00	Professional		$1,629.21	$2,274.04	$4,024.00