Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $4,723.00 / $10,635.00	Facility		$1,610.00	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.16 / $1,114.88 / $2,040.55	Professional		$1,005.16	$1,114.88	$2,040.55
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 $848.32 / $1,117.79 / $1,842.58	Professional		$848.32	$1,117.79	$1,842.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,057.58 / $1,269.10 / $1,570.80	Facility		$1,057.58	$1,269.10	$1,570.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $946.14 / $1,163.34 / $1,374.87	Professional		$946.14	$1,163.34	$1,374.87
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 $956.41 / $1,427.74 / $2,230.42	Professional		$956.41	$1,427.74	$2,230.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,259.90	Facility		$425.00	$600.00	$1,259.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $969.25 / $1,480.62 / $2,187.76	Professional		$969.25	$1,480.62	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,055.24 / $1,524.23	Professional		$108.28	$1,055.24	$1,524.23
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 $937.58 / $1,283.46 / $2,333.42	Professional		$937.58	$1,283.46	$2,333.42