Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.28 / $7,170.31 / $11,627.00	Facility		$2,138.28	$7,170.31	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $2,140.63 / $3,967.57	Professional		$1,968.33	$2,140.63	$3,967.57
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 $1,452.23 / $2,126.56 / $3,584.34	Professional		$1,452.23	$2,126.56	$3,584.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,043.69 / $2,452.42 / $3,035.42	Facility		$2,043.69	$2,452.42	$3,035.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,547.63 / $2,248.06 / $2,656.80	Professional		$1,547.63	$2,248.06	$2,656.80
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 $1,737.14 / $2,769.73 / $4,324.77	Professional		$1,737.14	$2,769.73	$4,324.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,445.40	Facility		$425.00	$600.00	$2,445.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,876.27 / $2,861.16 / $4,324.77	Professional		$1,876.27	$2,861.16	$4,324.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,769.96 / $2,835.11	Professional		$213.31	$1,769.96	$2,835.11
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 $1,816.32 / $2,620.07 / $4,528.22	Professional		$1,816.32	$2,620.07	$4,528.22