Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.86 / $5,135.00 / $10,817.74	Facility		$1,217.86	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.51 / $952.70 / $1,877.90	Professional		$846.51	$952.70	$1,877.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.52 / $1,375.84 / $2,259.02	Professional		$990.52	$1,375.84	$2,259.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.54 / $1,100.58 / $1,461.71	Facility		$857.54	$1,100.58	$1,461.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.87 / $1,284.01 / $127,498.73	Professional		$1,008.87	$1,284.01	$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 $963.01 / $1,398.36 / $1,971.90	Professional		$963.01	$1,398.36	$1,971.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $963.01 / $1,400.70 / $2,109.44	Professional		$963.01	$1,400.70	$2,109.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $667.56 / $1,159.66	Professional		$72.37	$667.56	$1,159.66
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 $803.78 / $1,238.15 / $1,971.49	Professional		$803.78	$1,238.15	$1,971.49