Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.61 / $5,135.00 / $11,627.00	Facility		$1,468.61	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.25 / $1,475.94 / $2,720.41	Professional		$1,354.25	$1,475.94	$2,720.41
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 $1,127.60 / $1,538.86 / $2,504.63	Professional		$1,127.60	$1,538.86	$2,504.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,404.77 / $1,685.72 / $2,086.44	Facility		$1,404.77	$1,685.72	$2,086.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,239.83 / $1,545.25 / $1,826.20	Professional		$1,239.83	$1,545.25	$1,826.20
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 $1,297.02 / $1,929.90 / $2,967.05	Professional		$1,297.02	$1,929.90	$2,967.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,679.11	Facility		$425.00	$600.00	$1,679.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,297.02 / $1,966.67 / $2,950.01	Professional		$1,297.02	$1,966.67	$2,950.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,401.85 / $2,031.39	Professional		$144.20	$1,401.85	$2,031.39
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 $1,251.99 / $1,788.78 / $3,096.05	Professional		$1,251.99	$1,788.78	$3,096.05