Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.78 / $9,504.00 / $11,627.00	Facility		$1,927.78	$9,504.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,927.78 / $2,260.46	Professional		$663.58	$1,927.78	$2,260.46
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 / $995.75	Professional		$424.15	$556.28	$995.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,685.46 / $21,244.82 / $41,999.58	Facility		$1,685.46	$21,244.82	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,896.14 / $28,442.11 / $50,191.95	Professional		$1,896.14	$28,442.11	$50,191.95
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 $2,248.48 / $2,248.48 / $2,248.48	Facility		$2,248.48	$2,248.48	$2,248.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,157.95 / $3,157.95 / $9,360.83	Professional		$3,157.95	$3,157.95	$9,360.83
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 $2,904.00 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.81 / $2,151.44 / $3,883.13	Professional		$709.81	$2,151.44	$3,883.13