Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.43 / $4,732.00 / $11,627.00	Facility		$1,341.43	$4,732.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,344.96 / $2,480.01	Professional		$1,235.93	$1,344.96	$2,480.01
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 $961.65 / $1,300.42 / $2,155.33	Professional		$961.65	$1,300.42	$2,155.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.19 / $1,541.03 / $1,907.36	Facility		$1,284.19	$1,541.03	$1,907.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,003.33 / $1,412.61 / $1,669.45	Professional		$1,003.33	$1,412.61	$1,669.45
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 $1,156.01 / $1,733.66 / $2,710.48	Professional		$1,156.01	$1,733.66	$2,710.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,533.78	Facility		$425.00	$600.00	$1,533.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,182.66 / $1,797.87 / $2,690.89	Professional		$1,182.66	$1,797.87	$2,690.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,266.97 / $1,848.79	Professional		$144.20	$1,266.97	$1,848.79
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 $1,127.84 / $1,595.89 / $2,850.90	Professional		$1,127.84	$1,595.89	$2,850.90