Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,251.00 / $11,581.00	Facility		$1,375.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.55 / $1,074.23 / $2,118.21	Professional		$923.55	$1,074.23	$2,118.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $8,010.00 / $36,529.00	Facility		$2,134.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.95 / $1,175.09 / $1,857.60	Professional		$883.95	$1,175.09	$1,857.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $967.15 / $1,241.27 / $1,648.56	Facility		$967.15	$1,241.27	$1,648.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,137.83 / $1,448.15 / $127,498.73	Professional		$1,137.83	$1,448.15	$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 $1,078.83 / $1,469.63 / $2,130.48	Professional		$1,078.83	$1,469.63	$2,130.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,234.82 / $1,234.82 / $1,234.82	Facility		$1,234.82	$1,234.82	$1,234.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,086.10 / $1,496.33 / $2,130.48	Professional		$1,086.10	$1,496.33	$2,130.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $762.14 / $1,290.58	Professional		$108.15	$762.14	$1,290.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.41 / $1,343.66 / $2,193.91	Professional		$873.41	$1,343.66	$2,193.91