Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.62 / $6,273.28 / $11,627.00	Facility		$1,873.62	$6,273.28	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.26 / $1,877.19 / $3,468.92	Professional		$1,726.26	$1,877.19	$3,468.92
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 $1,265.47 / $1,896.93 / $3,183.43	Professional		$1,265.47	$1,896.93	$3,183.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,792.56 / $2,151.07 / $2,662.42	Facility		$1,792.56	$2,151.07	$2,662.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,440.12 / $1,971.82 / $2,330.33	Professional		$1,440.12	$1,971.82	$2,330.33
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 $1,511.53 / $2,443.56 / $3,793.65	Professional		$1,511.53	$2,443.56	$3,793.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,142.85	Facility		$425.00	$600.00	$2,142.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,598.26 / $2,502.67 / $3,720.26	Professional		$1,598.26	$2,502.67	$3,720.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,558.16 / $2,520.01	Professional		$178.54	$1,558.16	$2,520.01
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 $1,595.88 / $2,243.31 / $4,001.45	Professional		$1,595.88	$2,243.31	$4,001.45