Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,014.04 / $8,956.00 / $11,627.00	Facility		$3,014.04	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,721.68 / $3,014.04 / $5,594.31	Professional		$2,721.68	$3,014.04	$5,594.31
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 $2,110.21 / $2,880.71 / $4,761.81	Professional		$2,110.21	$2,880.71	$4,761.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,880.71 / $3,456.85 / $4,278.60	Facility		$2,880.71	$3,456.85	$4,278.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,217.51 / $3,168.78 / $3,744.92	Professional		$2,217.51	$3,168.78	$3,744.92
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 $1,782.74 / $3,870.97 / $6,078.92	Professional		$1,782.74	$3,870.97	$6,078.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,447.56	Facility		$425.00	$600.00	$3,447.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,049.52 / $3,956.84 / $6,048.81	Professional		$2,049.52	$3,956.84	$6,048.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.65 / $2,504.86 / $3,997.90	Professional		$279.65	$2,504.86	$3,997.90
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 $2,467.10 / $3,626.58 / $6,398.55	Professional		$2,467.10	$3,626.58	$6,398.55