Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.39 / $8,956.00 / $11,627.00	Facility		$1,886.39	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.58 / $1,886.39 / $2,925.47	Professional		$1,303.58	$1,886.39	$2,925.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $556.28 / $971.60	Professional		$424.15	$556.28	$971.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.98 / $25,011.31 / $45,499.55	Facility		$1,868.98	$25,011.31	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,102.60 / $31,538.98 / $55,657.02	Professional		$2,102.60	$31,538.98	$55,657.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,200.19 / $2,200.19 / $2,200.19	Facility		$2,200.19	$2,200.19	$2,200.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,090.13 / $3,090.13 / $9,162.82	Professional		$3,090.13	$3,090.13	$9,162.82
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 $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $1,604.05 / $2,948.50	Professional		$572.40	$1,604.05	$2,948.50