Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.43 / $5,068.38 / $11,627.00	Facility		$1,524.43	$5,068.38	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.96 / $1,537.28 / $2,827.58	Professional		$1,385.96	$1,537.28	$2,827.58
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 $1,125.58 / $1,509.62 / $2,442.01	Professional		$1,125.58	$1,509.62	$2,442.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,459.38 / $1,751.26 / $2,167.55	Facility		$1,459.38	$1,751.26	$2,167.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,072.32 / $1,605.32 / $1,897.19	Professional		$1,072.32	$1,605.32	$1,897.19
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 $1,285.44 / $1,957.26 / $3,064.70	Professional		$1,285.44	$1,957.26	$3,064.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,742.32	Facility		$425.00	$600.00	$1,742.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,342.90 / $1,984.88 / $2,918.77	Professional		$1,342.90	$1,984.88	$2,918.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.17 / $1,272.24 / $2,041.57	Professional		$144.17	$1,272.24	$2,041.57
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 $1,272.78 / $1,795.04 / $3,186.95	Professional		$1,272.78	$1,795.04	$3,186.95