Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.30 / $8,037.00 / $11,754.00	Facility		$2,023.30	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.16 / $1,559.31 / $3,127.45	Professional		$1,372.16	$1,559.31	$3,127.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.22 / $1,658.70 / $2,688.67	Professional		$1,231.22	$1,658.70	$2,688.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,399.04 / $1,795.55 / $2,384.71	Facility		$1,399.04	$1,795.55	$2,384.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.92 / $2,094.81 / $127,498.73	Professional		$1,645.92	$2,094.81	$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 $1,496.91 / $2,094.81 / $3,038.67	Professional		$1,496.91	$2,094.81	$3,038.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $1,794.83	Facility		$1,794.83	$1,794.83	$1,794.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,571.11 / $2,169.63 / $3,038.67	Professional		$1,571.11	$2,169.63	$3,038.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,098.02 / $1,898.36	Professional		$144.74	$1,098.02	$1,898.36
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 $1,235.33 / $1,934.69 / $2,999.85	Professional		$1,235.33	$1,934.69	$2,999.85