Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.74 / $6,295.00 / $11,627.00	Facility		$1,761.74	$6,295.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.70 / $1,799.25 / $3,227.94	Professional		$1,610.70	$1,799.25	$3,227.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,861.99 / $2,609.31 / $4,242.81	Professional		$1,861.99	$2,609.31	$4,242.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,612.01 / $2,068.88 / $2,747.73	Facility		$1,612.01	$2,068.88	$2,747.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,896.48 / $2,413.69 / $127,498.73	Professional		$1,896.48	$2,413.69	$127,498.73
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.08 / $2,628.73 / $3,735.71	Professional		$1,799.08	$2,628.73	$3,735.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,810.28 / $2,665.50 / $3,933.59	Professional		$1,810.28	$2,665.50	$3,933.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,258.72 / $2,152.65	Professional		$216.68	$1,258.72	$2,152.65
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 $1,552.70 / $2,390.67 / $3,751.48	Professional		$1,552.70	$2,390.67	$3,751.48