Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.81 / $4,723.00 / $11,627.00	Facility		$1,095.81	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.32 / $1,097.00 / $1,826.36	Professional		$975.32	$1,097.00	$1,826.36
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 $844.97 / $1,168.59 / $1,918.59	Professional		$844.97	$1,168.59	$1,918.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,048.47 / $1,258.16 / $1,557.26	Facility		$1,048.47	$1,258.16	$1,557.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.46 / $1,153.32 / $1,363.01	Professional		$1,024.46	$1,153.32	$1,363.01
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 $958.35 / $1,439.08 / $2,218.07	Professional		$958.35	$1,439.08	$2,218.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,252.98	Facility		$425.00	$600.00	$1,252.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $962.99 / $1,467.86 / $2,201.80	Professional		$962.99	$1,467.86	$2,201.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,031.69 / $1,491.31	Professional		$108.28	$1,031.69	$1,491.31
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.05 / $1,283.26 / $2,290.01	Professional		$921.05	$1,283.26	$2,290.01