Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.66 / $5,123.00 / $11,627.00	Facility		$1,456.66	$5,123.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.68 / $1,467.99 / $2,703.14	Professional		$1,338.68	$1,467.99	$2,703.14
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 $1,089.50 / $1,470.15 / $2,371.27	Professional		$1,089.50	$1,470.15	$2,371.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,394.22 / $1,673.06 / $2,070.78	Facility		$1,394.22	$1,673.06	$2,070.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,155.50 / $1,533.64 / $1,812.49	Professional		$1,155.50	$1,533.64	$1,812.49
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 $1,258.89 / $1,871.26 / $2,927.87	Professional		$1,258.89	$1,871.26	$2,927.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,664.96	Facility		$425.00	$600.00	$1,664.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,285.65 / $1,951.91 / $2,900.80	Professional		$1,285.65	$1,951.91	$2,900.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,373.27 / $1,989.52	Professional		$144.20	$1,373.27	$1,989.52
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 $1,236.00 / $1,730.33 / $3,099.17	Professional		$1,236.00	$1,730.33	$3,099.17