Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,885.95 / $6,599.00 / $12,672.00	Facility		$1,885.95	$6,599.00	$12,672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,273.38 / $2,348.21	Professional		$1,167.99	$1,273.38	$2,348.21
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 $989.77 / $1,355.55 / $2,181.10	Professional		$989.77	$1,355.55	$2,181.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,213.04 / $1,455.65 / $1,801.69	Facility		$1,213.04	$1,455.65	$1,801.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,204.52 / $1,334.34 / $1,576.95	Professional		$1,204.52	$1,334.34	$1,576.95
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 $1,121.75 / $1,673.14 / $2,567.30	Professional		$1,121.75	$1,673.14	$2,567.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,450.27	Facility		$425.00	$600.00	$1,450.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,121.75 / $1,698.26 / $2,542.42	Professional		$1,121.75	$1,698.26	$2,542.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,051.62 / $1,685.25	Professional		$112.40	$1,051.62	$1,685.25
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 $1,081.10 / $1,543.36 / $2,677.69	Professional		$1,081.10	$1,543.36	$2,677.69