Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,294.81 / $7,697.69 / $11,627.00	Facility		$2,294.81	$7,697.69	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.15 / $2,294.81 / $4,253.39	Professional		$2,111.15	$2,294.81	$4,253.39
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 $1,556.75 / $2,326.56 / $3,947.53	Professional		$1,556.75	$2,326.56	$3,947.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,194.87 / $2,633.84 / $3,259.95	Facility		$2,194.87	$2,633.84	$3,259.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,785.78 / $2,414.36 / $2,853.33	Professional		$1,785.78	$2,414.36	$2,853.33
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 $1,847.01 / $3,009.87 / $4,648.68	Professional		$1,847.01	$3,009.87	$4,648.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,624.83	Facility		$425.00	$600.00	$2,624.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,972.75 / $3,072.82 / $4,646.08	Professional		$1,972.75	$3,072.82	$4,646.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $2,162.78 / $3,140.73	Professional		$252.55	$2,162.78	$3,140.73
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 $1,942.19 / $2,692.86 / $4,796.70	Professional		$1,942.19	$2,692.86	$4,796.70