Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.47 / $6,087.45 / $11,627.00	Facility		$1,750.47	$6,087.45	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.32 / $1,774.44 / $3,216.95	Professional		$1,637.32	$1,774.44	$3,216.95
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 $1,437.59 / $1,875.47 / $3,118.90	Professional		$1,437.59	$1,875.47	$3,118.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,671.01 / $2,005.21 / $2,481.88	Facility		$1,671.01	$2,005.21	$2,481.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,657.55 / $1,838.11 / $2,172.31	Professional		$1,657.55	$1,838.11	$2,172.31
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 $1,550.91 / $2,339.42 / $3,509.13	Professional		$1,550.91	$2,339.42	$3,509.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,014.84	Facility		$425.00	$600.00	$2,014.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,603.65 / $2,356.78 / $3,503.49	Professional		$1,603.65	$2,356.78	$3,503.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $1,665.00 / $2,416.72	Professional		$180.97	$1,665.00	$2,416.72
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 $1,496.13 / $2,137.98 / $3,702.11	Professional		$1,496.13	$2,137.98	$3,702.11