Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.90 / $7,155.00 / $11,627.00	Facility		$1,194.90	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,194.90 / $2,179.08	Professional		$1,042.72	$1,194.90	$2,179.08
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 $954.60 / $1,331.52 / $2,071.10	Professional		$954.60	$1,331.52	$2,071.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,095.15 / $1,405.54 / $1,739.65	Facility		$1,095.15	$1,405.54	$1,739.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.41 / $1,639.79 / $127,498.73	Professional		$1,288.41	$1,639.79	$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 $1,205.58 / $1,639.69 / $2,246.41	Professional		$1,205.58	$1,639.69	$2,246.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,229.83 / $1,639.79 / $2,246.41	Professional		$1,229.83	$1,639.79	$2,246.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $868.75 / $1,479.28	Professional		$144.74	$868.75	$1,479.28
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 $976.16 / $1,494.14 / $2,504.54	Professional		$976.16	$1,494.14	$2,504.54