Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,783.98 / $5,969.27 / $11,627.00	Facility		$1,783.98	$5,969.27	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.26 / $1,788.18 / $3,303.17	Professional		$1,644.26	$1,788.18	$3,303.17
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 $1,339.09 / $1,809.62 / $2,928.97	Professional		$1,339.09	$1,809.62	$2,928.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,707.19 / $2,048.63 / $2,535.62	Facility		$1,707.19	$2,048.63	$2,535.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,415.20 / $1,877.91 / $2,219.35	Professional		$1,415.20	$1,877.91	$2,219.35
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 $1,564.91 / $2,353.06 / $3,610.33	Professional		$1,564.91	$2,353.06	$3,610.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,040.31	Facility		$425.00	$600.00	$2,040.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,579.27 / $2,390.07 / $3,590.17	Professional		$1,579.27	$2,390.07	$3,590.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,479.23 / $2,381.17	Professional		$178.54	$1,479.23	$2,381.17
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 $1,506.09 / $2,099.48 / $3,769.80	Professional		$1,506.09	$2,099.48	$3,769.80