Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,893.73 / $7,234.00 / $12,313.00	Facility		$1,893.73	$7,234.00	$12,313.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.30 / $1,051.51 / $2,043.77	Professional		$903.30	$1,051.51	$2,043.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,151.00 / $6,932.00 / $30,285.00	Facility		$3,151.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,252.98 / $1,942.53	Professional		$876.09	$1,252.98	$1,942.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.01 / $1,217.99 / $1,617.65	Facility		$949.01	$1,217.99	$1,617.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,116.49 / $1,420.99 / $127,498.73	Professional		$1,116.49	$1,420.99	$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 $1,063.08 / $1,471.74 / $2,108.91	Professional		$1,063.08	$1,471.74	$2,108.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,211.33 / $25,888.72	Facility		$1,211.33	$1,211.33	$25,888.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,065.74 / $1,476.10 / $2,110.79	Professional		$1,065.74	$1,476.10	$2,110.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $740.46 / $1,283.87	Professional		$108.28	$740.46	$1,283.87
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 $892.14 / $1,296.58 / $2,141.17	Professional		$892.14	$1,296.58	$2,141.17