Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.21 / $4,723.00 / $11,627.00	Facility		$1,302.21	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.53 / $1,307.47 / $2,411.98	Professional		$1,201.53	$1,307.47	$2,411.98
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 $1,025.75 / $1,386.50 / $2,270.46	Professional		$1,025.75	$1,386.50	$2,270.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.61 / $1,495.94 / $1,851.56	Facility		$1,246.61	$1,495.94	$1,851.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,228.85 / $1,371.28 / $1,620.61	Professional		$1,228.85	$1,371.28	$1,620.61
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 $1,152.46 / $1,712.84 / $2,635.58	Professional		$1,152.46	$1,712.84	$2,635.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,489.16	Facility		$425.00	$600.00	$1,489.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,156.05 / $1,745.27 / $2,617.90	Professional		$1,156.05	$1,745.27	$2,617.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,259.49 / $1,825.29	Professional		$144.20	$1,259.49	$1,825.29
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 $1,119.93 / $1,558.64 / $2,751.00	Professional		$1,119.93	$1,558.64	$2,751.00