Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $2,714.56 / $6,660.00	Facility		$190.00	$2,714.56	$6,660.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.67 / $1,600.00 / $3,000.00	Professional		$1,122.67	$1,600.00	$3,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,766.00 / $2,160.00 / $3,539.40	Facility		$1,766.00	$2,160.00	$3,539.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.59 / $1,167.15 / $3,200.99	Professional		$964.59	$1,167.15	$3,200.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,300.00 / $3,000.00	Facility		$2,000.00	$2,300.00	$3,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,600.00 / $4,372.78	Professional		$2,000.00	$2,600.00	$4,372.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $2,099.96 / $11,414.00	Facility		$1,339.00	$2,099.96	$11,414.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.04 / $1,752.62 / $4,353.18	Professional		$915.04	$1,752.62	$4,353.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $2,099.96 / $11,414.00	Facility		$1,339.00	$2,099.96	$11,414.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $915.04 / $1,800.07 / $4,353.18	Professional		$915.04	$1,800.07	$4,353.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $1,800.00 / $2,475.00	Professional		$1,575.00	$1,800.00	$2,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $2,641.40	Professional		$840.00	$1,200.00	$2,641.40