Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.96 / $4,723.00 / $11,627.00	Facility		$1,090.96	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.57 / $1,101.27 / $1,990.44	Professional		$953.57	$1,101.27	$1,990.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.94 / $1,238.78 / $1,967.18	Professional		$895.94	$1,238.78	$1,967.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $998.73 / $1,281.80 / $1,702.40	Facility		$998.73	$1,281.80	$1,702.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.99 / $1,495.44 / $127,498.73	Professional		$1,174.99	$1,495.44	$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 $1,121.38 / $1,495.44 / $2,102.58	Professional		$1,121.38	$1,495.44	$2,102.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,121.58 / $1,525.01 / $2,094.53	Professional		$1,121.58	$1,525.01	$2,094.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $774.34 / $1,340.75	Professional		$108.15	$774.34	$1,340.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.78 / $1,357.25 / $2,247.86	Professional		$889.78	$1,357.25	$2,247.86