Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.43 / $6,652.49 / $11,627.00	Facility		$1,985.43	$6,652.49	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,829.00 / $1,989.30 / $3,681.38	Professional		$1,829.00	$1,989.30	$3,681.38
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 $1,570.16 / $2,050.67 / $3,406.51	Professional		$1,570.16	$2,050.67	$3,406.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,898.78 / $2,278.54 / $2,820.18	Facility		$1,898.78	$2,278.54	$2,820.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,536.94 / $2,088.66 / $2,468.41	Professional		$1,536.94	$2,088.66	$2,468.41
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 $1,759.40 / $2,605.57 / $4,023.55	Professional		$1,759.40	$2,605.57	$4,023.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,270.62	Facility		$425.00	$600.00	$2,270.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,772.19 / $2,658.29 / $4,009.71	Professional		$1,772.19	$2,658.29	$4,009.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,879.78 / $2,739.89	Professional		$216.49	$1,879.78	$2,739.89
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 $1,684.66 / $2,367.94 / $4,145.97	Professional		$1,684.66	$2,367.94	$4,145.97