Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.68 / $4,723.00 / $11,627.00	Facility		$1,262.68	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.95 / $1,271.91 / $2,336.63	Professional		$1,161.95	$1,271.91	$2,336.63
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 $964.35 / $1,332.81 / $2,185.48	Professional		$964.35	$1,332.81	$2,185.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.03 / $1,449.64 / $1,794.24	Facility		$1,208.03	$1,449.64	$1,794.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.94 / $1,328.83 / $1,570.44	Professional		$1,122.94	$1,328.83	$1,570.44
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 $1,114.56 / $1,655.68 / $2,556.12	Professional		$1,114.56	$1,655.68	$2,556.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,443.47	Facility		$425.00	$600.00	$1,443.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,691.24 / $2,552.37	Professional		$1,123.65	$1,691.24	$2,552.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,050.53 / $1,698.22	Professional		$112.40	$1,050.53	$1,698.22
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 $1,077.43 / $1,500.07 / $2,686.75	Professional		$1,077.43	$1,500.07	$2,686.75