Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.73 / $5,201.00 / $11,627.00	Facility		$1,423.73	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.55 / $1,112.77 / $2,202.46	Professional		$962.55	$1,112.77	$2,202.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.21 / $1,453.31 / $2,364.31	Professional		$1,074.21	$1,453.31	$2,364.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.78 / $1,288.27 / $1,710.99	Facility		$1,003.78	$1,288.27	$1,710.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,180.92 / $1,502.98 / $127,498.73	Professional		$1,180.92	$1,502.98	$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 $1,124.89 / $1,583.53 / $2,283.54	Professional		$1,124.89	$1,583.53	$2,283.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,280.88	Facility		$1,280.88	$1,280.88	$1,280.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,620.23 / $2,268.42	Professional		$1,127.24	$1,620.23	$2,268.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $768.41 / $1,328.34	Professional		$108.15	$768.41	$1,328.34
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 $907.31 / $1,428.75 / $2,175.17	Professional		$907.31	$1,428.75	$2,175.17