Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $8,037.00 / $11,754.00	Facility		$1,575.00	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.91 / $1,095.03 / $2,170.26	Professional		$948.91	$1,095.03	$2,170.26
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 $913.35 / $1,270.86 / $2,022.05	Professional		$913.35	$1,270.86	$2,022.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.93 / $1,275.61 / $1,578.87	Facility		$993.93	$1,275.61	$1,578.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,169.32 / $1,488.23 / $127,498.73	Professional		$1,169.32	$1,488.23	$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 $1,116.17 / $1,504.89 / $2,151.73	Professional		$1,116.17	$1,504.89	$2,151.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,116.17 / $1,538.30 / $2,151.73	Professional		$1,116.17	$1,538.30	$2,151.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $757.03 / $1,316.32	Professional		$144.74	$757.03	$1,316.32
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 $890.74 / $1,390.86 / $2,233.03	Professional		$890.74	$1,390.86	$2,233.03