Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,491.21 / $8,248.73 / $11,627.00	Facility		$2,491.21	$8,248.73	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.60 / $2,498.13 / $4,235.07	Professional		$2,216.60	$2,498.13	$4,235.07
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 $1,901.39 / $2,529.11 / $4,175.43	Professional		$1,901.39	$2,529.11	$4,175.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,385.96 / $2,863.15 / $3,543.77	Facility		$2,385.96	$2,863.15	$3,543.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,933.70 / $2,624.56 / $3,101.75	Professional		$1,933.70	$2,624.56	$3,101.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $2,847.56	Facility		$425.00	$581.00	$2,847.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.94 / $3,175.71 / $5,010.52	Professional		$2,156.94	$3,175.71	$5,010.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $2,847.56	Facility		$425.00	$562.00	$2,847.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,185.42 / $3,340.34 / $4,954.64	Professional		$2,185.42	$3,340.34	$4,954.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $2,075.66 / $3,316.47	Professional		$245.01	$2,075.66	$3,316.47
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 $2,098.96 / $3,003.44 / $5,268.14	Professional		$2,098.96	$3,003.44	$5,268.14