Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.18 / $6,251.00 / $11,581.00	Facility		$1,410.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.04 / $1,106.54 / $2,179.88	Professional		$946.04	$1,106.54	$2,179.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,971.00 / $5,836.00 / $30,285.00	Facility		$2,971.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.21 / $1,298.10 / $2,011.50	Professional		$915.21	$1,298.10	$2,011.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,275.36 / $1,275.36 / $1,275.36	Professional		$1,275.36	$1,275.36	$1,275.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.73 / $1,275.36 / $1,693.86	Facility		$993.73	$1,275.36	$1,693.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.08 / $1,487.93 / $127,498.73	Professional		$1,169.08	$1,487.93	$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 $1,114.51 / $1,514.44 / $2,198.90	Professional		$1,114.51	$1,514.44	$2,198.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,268.30	Facility		$1,268.30	$1,268.30	$1,268.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,115.95 / $1,541.08 / $2,198.90	Professional		$1,115.95	$1,541.08	$2,198.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $768.41 / $1,304.27	Professional		$108.15	$768.41	$1,304.27
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 $933.42 / $1,404.99 / $2,299.40	Professional		$933.42	$1,404.99	$2,299.40