Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $4,723.00 / $11,627.00	Facility		$1,090.33	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.92 / $1,096.76 / $2,018.51	Professional		$1,002.92	$1,096.76	$2,018.51
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 $829.81 / $1,107.11 / $1,800.30	Professional		$829.81	$1,107.11	$1,800.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,043.66 / $1,252.39 / $1,550.10	Facility		$1,043.66	$1,252.39	$1,550.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.65 / $1,148.03 / $1,356.76	Professional		$836.65	$1,148.03	$1,356.76
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 $939.30 / $1,401.96 / $2,204.67	Professional		$939.30	$1,401.96	$2,204.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,246.15	Facility		$425.00	$600.00	$1,246.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $960.44 / $1,461.13 / $2,159.86	Professional		$960.44	$1,461.13	$2,159.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,029.79 / $1,493.57	Professional		$108.28	$1,029.79	$1,493.57
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 $909.74 / $1,256.13 / $2,292.63	Professional		$909.74	$1,256.13	$2,292.63