Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $8,422.00 / $11,581.00	Facility		$2,292.00	$8,422.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.81 / $1,333.96 / $1,395.28	Professional		$934.81	$1,333.96	$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 $1,359.46 / $20,391.89 / $57,049.43	Facility		$1,359.46	$20,391.89	$57,049.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.75 / $21,176.19 / $37,369.76	Professional		$1,411.75	$21,176.19	$37,369.76
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 $1,555.88 / $1,555.88 / $1,555.88	Facility		$1,555.88	$1,555.88	$1,555.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,185.21 / $2,185.21 / $6,478.08	Professional		$2,185.21	$2,185.21	$6,478.08
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 $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.96 / $1,785.55 / $2,852.88	Professional		$1,135.96	$1,785.55	$2,852.88