Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.54 / $4,723.00 / $11,627.00	Facility		$1,281.54	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.68 / $1,281.54 / $2,486.28	Professional		$1,166.68	$1,281.54	$2,486.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,175.00 / $14,996.00	Facility		$1,082.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.96 / $1,244.08 / $2,039.06	Professional		$935.96	$1,244.08	$2,039.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.76 / $1,476.91 / $1,827.99	Facility		$1,230.76	$1,476.91	$1,827.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $963.81 / $1,353.84 / $1,599.99	Professional		$963.81	$1,353.84	$1,599.99
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 $1,088.21 / $1,672.55 / $2,568.48	Professional		$1,088.21	$1,672.55	$2,568.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,464.18	Facility		$425.00	$600.00	$1,464.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,112.40 / $1,719.29 / $2,535.12	Professional		$1,112.40	$1,719.29	$2,535.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $1,220.10 / $1,774.31	Professional		$108.15	$1,220.10	$1,774.31
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 $995.14 / $1,488.45 / $2,655.37	Professional		$995.14	$1,488.45	$2,655.37