Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.13 / $4,723.00 / $11,627.00	Facility		$1,324.13	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.16 / $1,324.13 / $2,206.89	Professional		$1,188.16	$1,324.13	$2,206.89
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 $1,001.46 / $1,319.93 / $2,179.65	Professional		$1,001.46	$1,319.93	$2,179.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,266.86 / $1,520.24 / $1,881.63	Facility		$1,266.86	$1,520.24	$1,881.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.49 / $1,393.56 / $1,646.93	Professional		$1,000.49	$1,393.56	$1,646.93
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 $1,143.80 / $1,727.34 / $2,660.43	Professional		$1,143.80	$1,727.34	$2,660.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,513.73	Facility		$425.00	$600.00	$1,513.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,168.52 / $1,773.62 / $2,655.64	Professional		$1,168.52	$1,773.62	$2,655.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,100.90 / $1,790.82	Professional		$112.40	$1,100.90	$1,790.82
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 $1,125.64 / $1,583.02 / $2,804.88	Professional		$1,125.64	$1,583.02	$2,804.88