Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $8,037.00 / $11,754.00	Facility		$1,616.23	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.79 / $1,264.11 / $2,494.00	Professional		$1,085.79	$1,264.11	$2,494.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $7,982.00 / $36,529.00	Facility		$2,134.00	$7,982.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.68 / $1,321.39 / $2,105.25	Professional		$993.68	$1,321.39	$2,105.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,139.92 / $1,463.00 / $1,943.06	Facility		$1,139.92	$1,463.00	$1,943.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,341.09 / $1,706.84 / $127,498.73	Professional		$1,341.09	$1,706.84	$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 $1,268.09 / $1,706.83 / $2,382.23	Professional		$1,268.09	$1,706.83	$2,382.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,453.45 / $1,453.45 / $1,453.45	Facility		$1,453.45	$1,453.45	$1,453.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,280.13 / $1,750.60 / $2,340.78	Professional		$1,280.13	$1,750.60	$2,340.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $915.96 / $1,530.98	Professional		$144.74	$915.96	$1,530.98
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 $1,029.03 / $1,595.48 / $2,607.15	Professional		$1,029.03	$1,595.48	$2,607.15