Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.78 / $6,064.00 / $11,581.00	Facility		$2,194.78	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.70 / $1,478.59 / $2,726.49	Professional		$1,323.70	$1,478.59	$2,726.49
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 $1,164.94 / $1,537.72 / $2,536.25	Professional		$1,164.94	$1,537.72	$2,536.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,413.93 / $1,696.72 / $2,100.06	Facility		$1,413.93	$1,696.72	$2,100.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,190.83 / $1,555.32 / $1,838.11	Professional		$1,190.83	$1,555.32	$1,838.11
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 $1,302.55 / $1,923.08 / $2,983.23	Professional		$1,302.55	$1,923.08	$2,983.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,687.91	Facility		$425.00	$600.00	$1,687.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,302.55 / $1,979.50 / $2,969.25	Professional		$1,302.55	$1,979.50	$2,969.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,392.22 / $2,007.72	Professional		$144.20	$1,392.22	$2,007.72
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 $1,247.54 / $1,738.08 / $3,109.26	Professional		$1,247.54	$1,738.08	$3,109.26