Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.88 / $6,251.00 / $11,581.00	Facility		$1,828.88	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.85 / $1,229.91 / $3,222.36	Professional		$1,069.85	$1,229.91	$3,222.36
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 $974.58 / $1,314.71 / $2,108.17	Professional		$974.58	$1,314.71	$2,108.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.44 / $1,445.70 / $1,920.08	Facility		$1,126.44	$1,445.70	$1,920.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,325.23 / $1,686.65 / $127,498.73	Professional		$1,325.23	$1,686.65	$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 $1,244.68 / $1,690.55 / $2,366.63	Professional		$1,244.68	$1,690.55	$2,366.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,264.99 / $1,754.50 / $2,366.63	Professional		$1,264.99	$1,754.50	$2,366.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $875.01 / $1,517.61	Professional		$144.74	$875.01	$1,517.61
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 $1,002.30 / $1,553.46 / $2,604.48	Professional		$1,002.30	$1,553.46	$2,604.48