Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.61 / $4,837.00 / $11,627.00	Facility		$1,275.61	$4,837.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.04 / $1,305.80 / $2,322.79	Professional		$1,202.04	$1,305.80	$2,322.79
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 $1,012.92 / $1,443.00 / $2,370.64	Professional		$1,012.92	$1,443.00	$2,370.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.14 / $1,464.17 / $1,812.23	Facility		$1,220.14	$1,464.17	$1,812.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.45 / $1,342.15 / $1,586.18	Professional		$1,292.45	$1,342.15	$1,586.18
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 $1,119.47 / $1,689.49 / $2,611.11	Professional		$1,119.47	$1,689.49	$2,611.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,468.20	Facility		$425.00	$600.00	$1,468.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,140.83 / $1,714.25 / $2,541.86	Professional		$1,140.83	$1,714.25	$2,541.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,199.63 / $1,745.22	Professional		$108.28	$1,199.63	$1,745.22
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 $1,084.32 / $1,521.11 / $2,672.23	Professional		$1,084.32	$1,521.11	$2,672.23