Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.25 / $6,242.86 / $11,627.00	Facility		$1,863.25	$6,242.86	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.03 / $1,869.73 / $3,456.10	Professional		$1,718.03	$1,869.73	$3,456.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.48 / $1,860.02 / $3,062.57	Professional		$1,370.48	$1,860.02	$3,062.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,782.21 / $2,138.65 / $2,647.04	Facility		$1,782.21	$2,138.65	$2,647.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.93 / $1,960.43 / $2,316.87	Professional		$1,422.93	$1,960.43	$2,316.87
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 $1,527.38 / $2,419.46 / $3,771.02	Professional		$1,527.38	$2,419.46	$3,771.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,130.71	Facility		$425.00	$600.00	$2,130.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,635.26 / $2,495.09 / $3,757.69	Professional		$1,635.26	$2,495.09	$3,757.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,742.37 / $2,531.96	Professional		$216.49	$1,742.37	$2,531.96
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 $1,582.17 / $2,256.30 / $3,980.08	Professional		$1,582.17	$2,256.30	$3,980.08