Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.68 / $7,710.00 / $11,735.00	Facility		$2,036.68	$7,710.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,373.91 / $2,536.57	Professional		$1,262.58	$1,373.91	$2,536.57
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 $1,074.99 / $1,440.85 / $2,332.23	Professional		$1,074.99	$1,440.85	$2,332.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,309.86 / $1,571.84 / $1,945.49	Facility		$1,309.86	$1,571.84	$1,945.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,104.77 / $1,440.86 / $1,702.83	Professional		$1,104.77	$1,440.86	$1,702.83
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 $1,211.45 / $1,812.79 / $2,772.42	Professional		$1,211.45	$1,812.79	$2,772.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,566.26	Facility		$425.00	$600.00	$1,566.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,212.34 / $1,833.82 / $2,763.77	Professional		$1,212.34	$1,833.82	$2,763.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,294.33 / $1,872.17	Professional		$144.20	$1,294.33	$1,872.17
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 $1,165.18 / $1,630.47 / $2,891.81	Professional		$1,165.18	$1,630.47	$2,891.81