Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $8,553.00 / $11,627.00	Facility		$2,292.00	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.76 / $1,081.04 / $1,395.28	Professional		$754.76	$1,081.04	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $30,285.00 / $53,822.78	Facility		$5,920.00	$30,285.00	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,072.58 / $2,712.38 / $4,222.21	Professional		$2,072.58	$2,712.38	$4,222.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,016.33 / $15,244.85 / $57,049.43	Facility		$1,016.33	$15,244.85	$57,049.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,055.41 / $15,831.20 / $27,937.41	Professional		$1,055.41	$15,831.20	$27,937.41
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 $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,770.89 / $1,770.89 / $5,251.05	Professional		$1,770.89	$1,770.89	$5,251.05
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 $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.96 / $1,493.87 / $2,268.40	Professional		$900.96	$1,493.87	$2,268.40