Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.22 / $5,769.85 / $11,627.00	Facility		$1,727.22	$5,769.85	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.57 / $1,733.83 / $3,202.09	Professional		$1,581.57	$1,733.83	$3,202.09
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 $1,409.58 / $1,848.62 / $3,058.12	Professional		$1,409.58	$1,848.62	$3,058.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,650.40 / $1,980.48 / $2,451.28	Facility		$1,650.40	$1,980.48	$2,451.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,525.00 / $1,815.44 / $2,145.52	Professional		$1,525.00	$1,815.44	$2,145.52
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 $1,527.21 / $2,310.56 / $3,502.77	Professional		$1,527.21	$2,310.56	$3,502.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,974.88	Facility		$425.00	$600.00	$1,974.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,544.69 / $2,329.10 / $3,497.72	Professional		$1,544.69	$2,329.10	$3,497.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,433.09 / $2,302.56	Professional		$178.54	$1,433.09	$2,302.56
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 $1,499.09 / $2,099.89 / $3,645.52	Professional		$1,499.09	$2,099.89	$3,645.52