Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.48 / $5,786.98 / $11,627.00	Facility		$1,739.48	$5,786.98	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.48 / $1,742.13 / $3,210.10	Professional		$1,583.48	$1,742.13	$3,210.10
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 $1,395.43 / $1,838.13 / $3,027.44	Professional		$1,395.43	$1,838.13	$3,027.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,663.47 / $1,996.16 / $2,470.69	Facility		$1,663.47	$1,996.16	$2,470.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,545.47 / $1,829.82 / $2,162.51	Professional		$1,545.47	$1,829.82	$2,162.51
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 $1,532.50 / $2,270.98 / $3,495.83	Professional		$1,532.50	$2,270.98	$3,495.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,988.99	Facility		$425.00	$600.00	$1,988.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,553.68 / $2,328.86 / $3,491.45	Professional		$1,553.68	$2,328.86	$3,491.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,454.29 / $2,313.66	Professional		$178.54	$1,454.29	$2,313.66
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 $1,525.79 / $2,136.73 / $3,694.58	Professional		$1,525.79	$2,136.73	$3,694.58