Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.92 / $5,292.27 / $11,627.00	Facility		$1,592.92	$5,292.27	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.47 / $1,596.26 / $2,939.08	Professional		$1,461.47	$1,596.26	$2,939.08
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 $1,268.26 / $1,734.67 / $2,830.12	Professional		$1,268.26	$1,734.67	$2,830.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,524.92 / $1,829.90 / $2,264.91	Facility		$1,524.92	$1,829.90	$2,264.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,657.50 / $1,677.41 / $1,982.40	Professional		$1,657.50	$1,677.41	$1,982.40
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 $1,401.78 / $2,072.62 / $3,217.51	Professional		$1,401.78	$2,072.62	$3,217.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,821.35	Facility		$425.00	$600.00	$1,821.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,425.80 / $2,134.89 / $3,186.47	Professional		$1,425.80	$2,134.89	$3,186.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $1,307.29 / $2,123.69	Professional		$153.08	$1,307.29	$2,123.69
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 $1,349.63 / $1,931.97 / $3,581.48	Professional		$1,349.63	$1,931.97	$3,581.48