Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.19 / $5,201.00 / $11,627.00	Facility		$1,335.19	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.46 / $1,044.19 / $2,059.12	Professional		$892.46	$1,044.19	$2,059.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $7,398.00 / $36,529.00	Facility		$2,134.00	$7,398.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.61 / $1,209.58 / $1,944.03	Professional		$855.61	$1,209.58	$1,944.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.18 / $1,207.93 / $1,604.28	Facility		$941.18	$1,207.93	$1,604.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,107.27 / $1,409.25 / $127,498.73	Professional		$1,107.27	$1,409.25	$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 $1,056.95 / $1,409.26 / $1,976.45	Professional		$1,056.95	$1,409.26	$1,976.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,056.95 / $1,433.73 / $2,043.73	Professional		$1,056.95	$1,433.73	$2,043.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $728.20 / $1,247.48	Professional		$108.15	$728.20	$1,247.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.32 / $1,310.59 / $2,093.46	Professional		$868.32	$1,310.59	$2,093.46