Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.38 / $6,502.15 / $11,627.00	Facility		$1,974.38	$6,502.15	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.80 / $1,980.93 / $3,628.99	Professional		$1,790.80	$1,980.93	$3,628.99
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 $1,390.37 / $1,848.37 / $3,149.94	Professional		$1,390.37	$1,848.37	$3,149.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,893.56 / $2,272.27 / $2,812.43	Facility		$1,893.56	$2,272.27	$2,812.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,456.67 / $2,082.92 / $2,461.63	Professional		$1,456.67	$2,082.92	$2,461.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $2,256.13	Facility		$425.00	$581.00	$2,256.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.28 / $2,469.59 / $3,976.48	Professional		$1,614.28	$2,469.59	$3,976.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $2,256.13	Facility		$425.00	$562.00	$2,256.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,724.01 / $2,530.01 / $3,787.12	Professional		$1,724.01	$2,530.01	$3,787.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,901.78 / $2,771.64	Professional		$216.49	$1,901.78	$2,771.64
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.89 / $2,326.40 / $4,166.03	Professional		$1,632.89	$2,326.40	$4,166.03