Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.75 / $4,723.00 / $11,627.00	Facility		$1,306.75	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.68 / $1,313.68 / $2,417.98	Professional		$1,202.68	$1,313.68	$2,417.98
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 $986.28 / $1,328.40 / $2,186.87	Professional		$986.28	$1,328.40	$2,186.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,249.64 / $1,499.57 / $1,856.05	Facility		$1,249.64	$1,499.57	$1,856.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.43 / $1,374.60 / $1,624.53	Professional		$1,047.43	$1,374.60	$1,624.53
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 $1,153.00 / $1,700.40 / $2,624.25	Professional		$1,153.00	$1,700.40	$2,624.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,493.83	Facility		$425.00	$600.00	$1,493.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,153.00 / $1,749.50 / $2,614.21	Professional		$1,153.00	$1,749.50	$2,614.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,085.45 / $1,737.56	Professional		$112.40	$1,085.45	$1,737.56
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 $1,107.23 / $1,522.44 / $2,752.28	Professional		$1,107.23	$1,522.44	$2,752.28