Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.14 / $4,723.00 / $11,627.00	Facility		$1,149.14	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,155.55 / $2,126.30	Professional		$1,055.57	$1,155.55	$2,126.30
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 $859.12 / $1,163.00 / $1,920.38	Professional		$859.12	$1,163.00	$1,920.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,099.60 / $1,319.53 / $1,633.20	Facility		$1,099.60	$1,319.53	$1,633.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $917.82 / $1,209.57 / $1,429.49	Professional		$917.82	$1,209.57	$1,429.49
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 $1,010.03 / $1,490.07 / $2,309.17	Professional		$1,010.03	$1,490.07	$2,309.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,313.52	Facility		$425.00	$600.00	$1,313.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,012.60 / $1,539.45 / $2,290.85	Professional		$1,012.60	$1,539.45	$2,290.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,108.75 / $1,617.10	Professional		$108.28	$1,108.75	$1,617.10
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 $973.26 / $1,401.19 / $2,439.66	Professional		$973.26	$1,401.19	$2,439.66