Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $6,813.00 / $14,579.00	Facility		$2,163.00	$6,813.00	$14,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.01 / $1,725.14 / $3,140.66	Professional		$1,475.01	$1,725.14	$3,140.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $41,878.69 / $76,926.81	Facility		$5,920.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.22 / $1,639.71 / $2,749.61	Professional		$1,171.22	$1,639.71	$2,749.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,988.54 / $1,988.54 / $1,988.54	Professional		$1,988.54	$1,988.54	$1,988.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,549.41 / $1,690.26 / $2,461.26	Facility		$1,549.41	$1,690.26	$2,461.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,822.83 / $1,822.83 / $2,319.96	Professional		$1,822.83	$1,822.83	$2,319.96
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 $1,657.12 / $2,319.96 / $3,355.39	Professional		$1,657.12	$2,319.96	$3,355.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,977.73 / $1,977.73 / $1,977.73	Facility		$1,977.73	$1,977.73	$1,977.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,739.97 / $2,356.62 / $3,355.39	Professional		$1,739.97	$2,356.62	$3,355.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,204.35 / $2,078.99	Professional		$216.49	$1,204.35	$2,078.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.52 / $2,157.73 / $3,264.01	Professional		$1,351.52	$2,157.73	$3,264.01