Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.83 / $2,019.55 / $5,773.88	Facility		$1,241.83	$2,019.55	$5,773.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,530.43 / $2,869.45	Professional		$1,241.83	$1,530.43	$2,869.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.92 / $1,671.34 / $2,727.28	Professional		$1,272.92	$1,671.34	$2,727.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.29 / $1,476.31 / $1,827.25	Facility		$1,150.29	$1,476.31	$1,827.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,647.60 / $2,096.94 / $127,498.73	Professional		$1,647.60	$2,096.94	$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 $1,411.10 / $2,076.07 / $3,113.64	Professional		$1,411.10	$2,076.07	$3,113.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,411.10 / $2,083.44 / $3,094.81	Professional		$1,411.10	$2,083.44	$3,094.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,101.04 / $1,870.67	Professional		$144.74	$1,101.04	$1,870.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,324.15 / $2,128.50 / $3,306.96	Professional		$1,324.15	$2,128.50	$3,306.96