Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.19 / $5,217.00 / $11,627.00	Facility		$1,296.19	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.33 / $1,013.53 / $1,998.10	Professional		$866.33	$1,013.53	$1,998.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,934.00 / $30,285.00	Facility		$2,777.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.27 / $1,164.83 / $1,891.78	Professional		$818.27	$1,164.83	$1,891.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $913.10 / $1,171.90 / $1,450.48	Facility		$913.10	$1,171.90	$1,450.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,074.24 / $1,367.21 / $127,498.73	Professional		$1,074.24	$1,367.21	$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 $1,025.41 / $1,394.22 / $1,972.20	Professional		$1,025.41	$1,394.22	$1,972.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,165.18 / $1,165.18 / $1,165.18	Facility		$1,165.18	$1,165.18	$1,165.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,025.41 / $1,415.11 / $1,972.20	Professional		$1,025.41	$1,415.11	$1,972.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $706.09 / $1,243.43	Professional		$72.37	$706.09	$1,243.43
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 $856.34 / $1,290.15 / $2,052.65	Professional		$856.34	$1,290.15	$2,052.65