Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,880.00 / $6,192.00 / $11,088.00	Facility		$2,880.00	$6,192.00	$11,088.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,880.00 / $2,952.00	Professional		$2,520.00	$2,880.00	$2,952.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,670.40 / $4,672.80	Professional		$1,224.00	$1,670.40	$4,672.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $10,530.00 / $84,240.00	Facility		$3,600.00	$10,530.00	$84,240.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,763.18 / $8,640.00 / $84,671.57	Professional		$3,763.18	$8,640.00	$84,671.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,095.00 / $7,581.60 / $24,270.71	Facility		$4,095.00	$7,581.60	$24,270.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,016.00 / $2,016.00	Professional		$2,016.00	$2,016.00	$2,016.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,095.00 / $7,581.60 / $24,270.71	Facility		$4,095.00	$7,581.60	$24,270.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,016.00 / $2,016.00	Professional		$2,016.00	$2,016.00	$2,016.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $4,716.00	Professional		$1,512.00	$2,160.00	$4,716.00