Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $5,529.00 / $11,627.00	Facility		$1,984.00	$5,529.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.66 / $1,530.23 / $3,045.34	Professional		$1,376.66	$1,530.23	$3,045.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.91 / $1,762.49 / $2,795.58	Professional		$1,284.91	$1,762.49	$2,795.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $1,774.79 / $2,357.15	Facility		$1,382.85	$1,774.79	$2,357.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,626.89 / $2,070.59 / $127,498.73	Professional		$1,626.89	$2,070.59	$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 $1,550.12 / $2,144.54 / $3,165.04	Professional		$1,550.12	$2,144.54	$3,165.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,552.94 / $2,175.67 / $3,089.61	Professional		$1,552.94	$2,175.67	$3,089.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,090.63 / $1,835.38	Professional		$144.74	$1,090.63	$1,835.38
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 $1,215.51 / $1,922.81 / $3,098.93	Professional		$1,215.51	$1,922.81	$3,098.93