Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,698.00 / $10,635.00	Facility		$1,406.00	$3,698.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.09 / $1,223.40 / $2,446.98	Professional		$1,049.09	$1,223.40	$2,446.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $686.10 / $1,583.24	Professional		$482.98	$686.10	$1,583.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,116.39 / $1,432.80 / $1,902.95	Facility		$1,116.39	$1,432.80	$1,902.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,313.40 / $1,671.60 / $127,498.73	Professional		$1,313.40	$1,671.60	$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 $786.91 / $1,492.50 / $2,290.44	Professional		$786.91	$1,492.50	$2,290.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,424.06 / $1,424.06 / $1,424.06	Facility		$1,424.06	$1,424.06	$1,424.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $816.45 / $1,492.50 / $2,290.44	Professional		$816.45	$1,492.50	$2,290.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $887.44 / $1,524.65	Professional		$144.74	$887.44	$1,524.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.49 / $1,377.08 / $2,345.53	Professional		$669.49	$1,377.08	$2,345.53