Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,139.00 / $10,817.74	Facility		$1,610.00	$5,139.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.54 / $1,434.65 / $2,865.37	Professional		$1,225.54	$1,434.65	$2,865.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.69 / $1,179.79 / $2,054.89	Professional		$835.69	$1,179.79	$2,054.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,302.30 / $1,671.40 / $2,219.82	Facility		$1,302.30	$1,671.40	$2,219.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,532.11 / $1,949.96 / $127,498.73	Professional		$1,532.11	$1,949.96	$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 $1,271.44 / $1,922.05 / $2,780.23	Professional		$1,271.44	$1,922.05	$2,780.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,662.01 / $1,662.01 / $1,662.01	Facility		$1,662.01	$1,662.01	$1,662.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,271.44 / $1,949.96 / $2,780.23	Professional		$1,271.44	$1,949.96	$2,780.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,008.46 / $1,761.38	Professional		$144.74	$1,008.46	$1,761.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.05 / $1,768.06 / $3,006.90	Professional		$1,050.05	$1,768.06	$3,006.90