Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.51 / $5,474.56 / $11,627.00	Facility		$1,644.51	$5,474.56	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.09 / $1,657.01 / $3,049.12	Professional		$1,510.09	$1,657.01	$3,049.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,459.78 / $12,695.35	Facility		$2,644.00	$6,459.78	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.09 / $1,673.45 / $2,729.48	Professional		$1,258.09	$1,673.45	$2,729.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,574.67 / $1,889.60 / $2,338.80	Facility		$1,574.67	$1,889.60	$2,338.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,261.06 / $1,732.14 / $2,047.07	Professional		$1,261.06	$1,732.14	$2,047.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,879.75	Facility		$425.00	$581.00	$1,879.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.09 / $2,132.42 / $3,306.80	Professional		$1,424.09	$2,132.42	$3,306.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,879.75	Facility		$425.00	$562.00	$1,879.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,450.85 / $2,204.53 / $3,278.41	Professional		$1,450.85	$2,204.53	$3,278.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $1,358.80 / $2,196.21	Professional		$177.07	$1,358.80	$2,196.21
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 $1,394.50 / $1,962.91 / $3,463.26	Professional		$1,394.50	$1,962.91	$3,463.26