Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,214.32 / $6,251.00 / $11,581.00	Facility		$2,214.32	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.99 / $1,510.66 / $2,994.59	Professional		$1,372.99	$1,510.66	$2,994.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.58 / $1,661.33 / $2,704.35	Professional		$1,252.58	$1,661.33	$2,704.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.01 / $1,750.60 / $2,325.02	Facility		$1,364.01	$1,750.60	$2,325.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,604.71 / $2,042.36 / $127,498.73	Professional		$1,604.71	$2,042.36	$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 $1,511.53 / $2,138.50 / $3,099.90	Professional		$1,511.53	$2,138.50	$3,099.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,531.77 / $2,154.08 / $3,038.13	Professional		$1,531.77	$2,154.08	$3,038.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,077.29 / $1,874.24	Professional		$144.74	$1,077.29	$1,874.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,296.00 / $16,745.00	Facility		$5,351.00	$11,296.00	$16,745.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.83 / $2,014.19 / $3,097.81	Professional		$1,288.83	$2,014.19	$3,097.81