Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,600.38 / $10,268.00	Facility		$1,406.00	$3,600.38	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.67 / $1,089.85 / $1,968.51	Professional		$1,021.67	$1,089.85	$1,968.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,707.00 / $8,800.00	Facility		$918.00	$2,707.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.17 / $1,045.93 / $1,728.65	Professional		$779.17	$1,045.93	$1,728.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.98 / $1,246.78 / $1,543.16	Facility		$1,038.98	$1,246.78	$1,543.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $770.01 / $1,142.88 / $1,350.67	Professional		$770.01	$1,142.88	$1,350.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,246.93 / $2,844.48	Facility		$508.00	$1,246.93	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.92 / $1,402.62 / $2,159.81	Professional		$892.92	$1,402.62	$2,159.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,119.01	Facility		$508.00	$885.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $936.72 / $1,435.75 / $2,150.25	Professional		$936.72	$1,435.75	$2,150.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,021.37 / $1,482.02	Professional		$108.28	$1,021.37	$1,482.02
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $911.65 / $1,298.30 / $2,247.44	Professional		$911.65	$1,298.30	$2,247.44