Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.69 / $6,251.00 / $11,581.00	Facility		$1,760.69	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.17 / $1,600.63 / $3,090.22	Professional		$1,433.17	$1,600.63	$3,090.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $8,566.00 / $60,294.00	Facility		$2,807.00	$8,566.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.70 / $2,059.65 / $4,844.53	Professional		$1,346.70	$2,059.65	$4,844.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,417.43 / $1,819.16 / $2,416.08	Facility		$1,417.43	$1,819.16	$2,416.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,667.57 / $2,122.36 / $127,498.73	Professional		$1,667.57	$2,122.36	$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 $1,574.31 / $2,198.16 / $3,241.78	Professional		$1,574.31	$2,198.16	$3,241.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,877.47 / $1,877.47 / $1,877.47	Facility		$1,877.47	$1,877.47	$1,877.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,591.77 / $2,228.48 / $3,135.15	Professional		$1,591.77	$2,228.48	$3,135.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,123.29 / $1,938.46	Professional		$144.74	$1,123.29	$1,938.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,019.00 / $7,146.00 / $15,698.92	Facility		$4,019.00	$7,146.00	$15,698.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.75 / $2,046.56 / $3,268.13	Professional		$1,307.75	$2,046.56	$3,268.13