Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.71 / $6,251.00 / $11,581.00	Facility		$2,168.71	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,469.35 / $2,936.38	Professional		$1,256.33	$1,469.35	$2,936.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.25 / $1,055.91 / $2,003.32	Professional		$773.25	$1,055.91	$2,003.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,335.42 / $1,713.91 / $2,276.30	Facility		$1,335.42	$1,713.91	$2,276.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,571.09 / $1,999.56 / $127,498.73	Professional		$1,571.09	$1,999.56	$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 $1,223.58 / $1,928.15 / $2,815.52	Professional		$1,223.58	$1,928.15	$2,815.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,298.86 / $1,957.86 / $2,743.41	Professional		$1,298.86	$1,957.86	$2,743.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,059.43 / $1,801.82	Professional		$144.74	$1,059.43	$1,801.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.03 / $1,732.84 / $2,821.96	Professional		$968.03	$1,732.84	$2,821.96