Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,135.00 / $10,817.74	Facility		$1,610.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.84 / $1,311.46 / $2,620.59	Professional		$1,120.84	$1,311.46	$2,620.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,746.00 / $30,285.00	Facility		$2,777.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.41 / $883.10 / $1,782.91	Professional		$641.41	$883.10	$1,782.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.75 / $1,530.80 / $2,033.10	Facility		$1,192.75	$1,530.80	$2,033.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,403.24 / $1,785.94 / $127,498.73	Professional		$1,403.24	$1,785.94	$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 $987.54 / $1,722.16 / $2,485.69	Professional		$987.54	$1,722.16	$2,485.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,521.54 / $1,521.54 / $1,521.54	Facility		$1,521.54	$1,521.54	$1,521.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,740.90 / $2,449.53	Professional		$1,149.00	$1,740.90	$2,449.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $949.30 / $1,602.91	Professional		$144.74	$949.30	$1,602.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,989.00	Facility		$3,206.00	$6,392.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.93 / $1,539.68 / $2,641.24	Professional		$836.93	$1,539.68	$2,641.24