Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.83 / $4,723.00 / $11,627.00	Facility		$1,109.83	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.55 / $1,131.23 / $2,105.36	Professional		$999.55	$1,131.23	$2,105.36
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 $859.07 / $1,157.53 / $1,916.41	Professional		$859.07	$1,157.53	$1,916.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.17 / $1,274.59 / $1,577.60	Facility		$1,062.17	$1,274.59	$1,577.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.12 / $1,168.39 / $1,380.82	Professional		$976.12	$1,168.39	$1,380.82
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 $969.20 / $1,456.46 / $2,216.52	Professional		$969.20	$1,456.46	$2,216.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,269.05	Facility		$425.00	$600.00	$1,269.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $975.49 / $1,487.04 / $2,216.52	Professional		$975.49	$1,487.04	$2,216.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,063.80 / $1,535.54	Professional		$108.28	$1,063.80	$1,535.54
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 $934.99 / $1,336.82 / $2,313.53	Professional		$934.99	$1,336.82	$2,313.53