Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,200.50 / $6,410.00 / $10,635.00	Facility		$2,200.50	$6,410.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.00 / $2,212.26 / $4,096.59	Professional		$1,985.00	$2,212.26	$4,096.59
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 $1,778.94 / $2,321.82 / $3,814.93	Professional		$1,778.94	$2,321.82	$3,814.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,104.44 / $2,525.33 / $3,125.65	Facility		$2,104.44	$2,525.33	$3,125.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,085.42 / $2,314.88 / $2,735.77	Professional		$2,085.42	$2,314.88	$2,735.77
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 $1,956.29 / $2,840.99 / $4,466.46	Professional		$1,956.29	$2,840.99	$4,466.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,515.92	Facility		$425.00	$600.00	$2,515.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,956.29 / $2,879.07 / $4,417.07	Professional		$1,956.29	$2,879.07	$4,417.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $1,847.32 / $2,925.41	Professional		$213.23	$1,847.32	$2,925.41
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 $1,859.02 / $2,580.80 / $4,669.78	Professional		$1,859.02	$2,580.80	$4,669.78