Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.26 / $5,135.00 / $10,817.74	Facility		$1,409.26	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.95 / $1,123.60 / $2,219.13	Professional		$970.95	$1,123.60	$2,219.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.15 / $1,265.20 / $2,028.84	Professional		$935.15	$1,265.20	$2,028.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.33 / $1,292.82 / $1,717.02	Facility		$1,007.33	$1,292.82	$1,717.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,508.29 / $127,498.73	Professional		$1,185.08	$1,508.29	$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 $1,100.38 / $1,546.29 / $2,253.89	Professional		$1,100.38	$1,546.29	$2,253.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,131.22 / $1,583.70 / $2,253.89	Professional		$1,131.22	$1,583.70	$2,253.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $798.14 / $1,371.86	Professional		$108.15	$798.14	$1,371.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.09 / $1,394.13 / $2,300.44	Professional		$910.09	$1,394.13	$2,300.44