Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.15 / $4,723.00 / $11,627.00	Facility		$1,224.15	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.33 / $1,231.60 / $2,241.17	Professional		$1,100.33	$1,231.60	$2,241.17
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 $784.07 / $1,094.24 / $1,949.32	Professional		$784.07	$1,094.24	$1,949.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.75 / $1,412.10 / $1,747.78	Facility		$1,176.75	$1,412.10	$1,747.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $906.04 / $1,294.43 / $1,529.78	Professional		$906.04	$1,294.43	$1,529.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,399.41	Facility		$425.00	$581.00	$1,399.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.35 / $1,536.62 / $2,461.82	Professional		$1,010.35	$1,536.62	$2,461.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,399.41	Facility		$425.00	$562.00	$1,399.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,046.83 / $1,578.38 / $2,353.50	Professional		$1,046.83	$1,578.38	$2,353.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $1,038.43 / $1,668.02	Professional		$111.09	$1,038.43	$1,668.02
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 $978.42 / $1,423.89 / $2,537.23	Professional		$978.42	$1,423.89	$2,537.23