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 $866.44 / $1,016.60 / $2,006.05	Professional		$866.44	$1,016.60	$2,006.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.29 / $1,099.38 / $1,758.41	Professional		$796.29	$1,099.38	$1,758.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $919.07 / $1,179.55 / $1,566.60	Facility		$919.07	$1,179.55	$1,566.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.26 / $1,376.14 / $127,498.73	Professional		$1,081.26	$1,376.14	$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 $1,032.10 / $1,402.96 / $2,020.31	Professional		$1,032.10	$1,402.96	$2,020.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,172.49	Facility		$1,172.49	$1,172.49	$1,172.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,032.10 / $1,425.29 / $2,022.56	Professional		$1,032.10	$1,425.29	$2,022.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $706.09 / $1,243.43	Professional		$72.37	$706.09	$1,243.43
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 $827.76 / $1,275.39 / $2,065.71	Professional		$827.76	$1,275.39	$2,065.71