Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.83 / $4,723.00 / $11,627.00	Facility		$1,157.83	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.58 / $1,164.57 / $2,142.57	Professional		$1,063.58	$1,164.57	$2,142.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $3,969.68 / $7,474.03	Facility		$1,830.00	$3,969.68	$7,474.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.49 / $1,085.33 / $1,850.01	Professional		$791.49	$1,085.33	$1,850.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,109.23 / $1,331.08 / $1,647.50	Facility		$1,109.23	$1,331.08	$1,647.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.84 / $1,220.15 / $1,442.00	Professional		$857.84	$1,220.15	$1,442.00
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 $923.98 / $1,483.86 / $2,329.37	Professional		$923.98	$1,483.86	$2,329.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,323.47	Facility		$425.00	$600.00	$1,323.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $984.55 / $1,544.70 / $2,307.83	Professional		$984.55	$1,544.70	$2,307.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,119.60 / $1,627.95	Professional		$108.28	$1,119.60	$1,627.95
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $972.77 / $1,362.73 / $2,451.92	Professional		$972.77	$1,362.73	$2,451.92