Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.17 / $4,723.00 / $11,627.00	Facility		$1,143.17	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.48 / $1,150.33 / $2,115.42	Professional		$1,052.48	$1,150.33	$2,115.42
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 $830.45 / $1,115.73 / $1,826.48	Professional		$830.45	$1,115.73	$1,826.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,093.67 / $1,312.40 / $1,624.38	Facility		$1,093.67	$1,312.40	$1,624.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.89 / $1,203.04 / $1,421.77	Professional		$907.89	$1,203.04	$1,421.77
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 $985.96 / $1,477.50 / $2,313.51	Professional		$985.96	$1,477.50	$2,313.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,306.61	Facility		$425.00	$600.00	$1,306.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,008.03 / $1,531.14 / $2,294.64	Professional		$1,008.03	$1,531.14	$2,294.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,096.39 / $1,585.38	Professional		$108.28	$1,096.39	$1,585.38
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 $961.67 / $1,352.13 / $2,429.92	Professional		$961.67	$1,352.13	$2,429.92