Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.85 / $8,553.00 / $11,627.00	Facility		$1,809.85	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $2,119.94 / $3,234.51	Professional		$1,487.50	$2,119.94	$3,234.51
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 $707.56 / $960.79 / $1,720.15	Professional		$707.56	$960.79	$1,720.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,603.48 / $1,786.76 / $2,164.69	Facility		$1,603.48	$1,786.76	$2,164.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,771.85 / $1,771.85 / $2,004.35	Professional		$1,771.85	$1,771.85	$2,004.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $2,588.77	Facility		$425.00	$581.00	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.43 / $2,426.17 / $4,811.01	Professional		$1,467.43	$2,426.17	$4,811.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $2,588.77	Facility		$425.00	$562.00	$2,588.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $823.41 / $2,426.17 / $4,648.29	Professional		$823.41	$2,426.17	$4,648.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $1,732.26 / $2,598.39 / $4,802.63	Professional		$1,732.26	$2,598.39	$4,802.63