Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.69 / $5,201.00 / $11,627.00	Facility		$1,889.69	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.10 / $1,300.19 / $2,604.01	Professional		$1,186.10	$1,300.19	$2,604.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.28 / $1,525.10 / $2,360.71	Professional		$1,080.28	$1,525.10	$2,360.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.96 / $1,490.00 / $1,978.91	Facility		$1,160.96	$1,490.00	$1,978.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,365.84 / $1,738.34 / $127,498.73	Professional		$1,365.84	$1,738.34	$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 $1,274.40 / $1,800.42 / $2,618.41	Professional		$1,274.40	$1,800.42	$2,618.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,490.92 / $1,490.92 / $1,490.92	Facility		$1,490.92	$1,490.92	$1,490.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,303.75 / $1,864.44 / $2,641.88	Professional		$1,303.75	$1,864.44	$2,641.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $925.73 / $1,569.44	Professional		$144.74	$925.73	$1,569.44
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 $1,063.47 / $1,633.52 / $2,713.56	Professional		$1,063.47	$1,633.52	$2,713.56