Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $4,805.00 / $11,627.00	Facility		$1,360.00	$4,805.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.06 / $1,366.64 / $2,519.08	Professional		$1,254.06	$1,366.64	$2,519.08
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 $1,053.74 / $1,407.55 / $2,295.21	Professional		$1,053.74	$1,407.55	$2,295.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,300.08 / $1,560.10 / $1,930.95	Facility		$1,300.08	$1,560.10	$1,930.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.57 / $1,430.09 / $1,690.10	Professional		$1,152.57	$1,430.09	$1,690.10
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 $1,200.63 / $1,783.83 / $2,746.63	Professional		$1,200.63	$1,783.83	$2,746.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,554.88	Facility		$425.00	$600.00	$1,554.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,200.63 / $1,820.11 / $2,730.17	Professional		$1,200.63	$1,820.11	$2,730.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,290.26 / $1,872.76	Professional		$144.20	$1,290.26	$1,872.76
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 $1,152.27 / $1,620.15 / $2,829.26	Professional		$1,152.27	$1,620.15	$2,829.26