Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.84 / $4,723.00 / $11,627.00	Facility		$1,174.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.01 / $1,179.46 / $2,169.26	Professional		$1,079.01	$1,179.46	$2,169.26
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 $846.98 / $1,134.95 / $1,876.41	Professional		$846.98	$1,134.95	$1,876.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.99 / $1,349.99 / $1,670.91	Facility		$1,124.99	$1,349.99	$1,670.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.52 / $1,237.49 / $1,462.49	Professional		$879.52	$1,237.49	$1,462.49
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 $1,007.33 / $1,518.74 / $2,362.48	Professional		$1,007.33	$1,518.74	$2,362.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,343.08	Facility		$425.00	$600.00	$1,343.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,033.81 / $1,574.99 / $2,355.51	Professional		$1,033.81	$1,574.99	$2,355.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,105.07 / $1,621.96	Professional		$108.28	$1,105.07	$1,621.96
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 $992.61 / $1,427.88 / $2,541.96	Professional		$992.61	$1,427.88	$2,541.96