Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.81 / $6,582.00 / $11,627.00	Facility		$1,871.81	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,723.02 / $1,884.01 / $3,470.40	Professional		$1,723.02	$1,884.01	$3,470.40
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 $1,411.63 / $1,922.82 / $3,163.33	Professional		$1,411.63	$1,922.82	$3,163.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,789.40 / $2,147.28 / $2,657.72	Facility		$1,789.40	$2,147.28	$2,657.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,591.78 / $1,968.34 / $2,326.21	Professional		$1,591.78	$1,968.34	$2,326.21
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 $1,648.93 / $2,442.00 / $3,793.78	Professional		$1,648.93	$2,442.00	$3,793.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,139.92	Facility		$425.00	$600.00	$2,139.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,653.23 / $2,505.15 / $3,756.42	Professional		$1,653.23	$2,505.15	$3,756.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,779.48 / $2,578.78	Professional		$216.49	$1,779.48	$2,578.78
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 $1,594.14 / $2,283.39 / $3,967.70	Professional		$1,594.14	$2,283.39	$3,967.70