Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,692.76 / $8,918.00 / $11,627.00	Facility		$2,692.76	$8,918.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,321.89 / $2,692.76 / $4,946.43	Professional		$2,321.89	$2,692.76	$4,946.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $41,878.69 / $76,926.81	Facility		$6,813.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.14 / $2,903.43 / $4,638.79	Professional		$2,004.14	$2,903.43	$4,638.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,461.89 / $3,159.65 / $4,196.42	Facility		$2,461.89	$3,159.65	$4,196.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,896.34 / $3,686.26 / $127,498.73	Professional		$2,896.34	$3,686.26	$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 $2,677.74 / $3,686.26 / $5,062.39	Professional		$2,677.74	$3,686.26	$5,062.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,685.96 / $3,686.26 / $5,062.39	Professional		$2,685.96	$3,686.26	$5,062.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $1,953.06 / $3,293.23	Professional		$288.88	$1,953.06	$3,293.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,124.50 / $3,346.00 / $5,648.50	Professional		$2,124.50	$3,346.00	$5,648.50