Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.70 / $4,723.00 / $11,627.00	Facility		$1,133.70	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.43 / $1,141.83 / $2,073.50	Professional		$992.43	$1,141.83	$2,073.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.65 / $1,483.70 / $2,571.54	Professional		$1,096.65	$1,483.70	$2,571.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,331.69 / $1,768.65	Facility		$1,037.60	$1,331.69	$1,768.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,220.71 / $1,553.64 / $127,498.73	Professional		$1,220.71	$1,553.64	$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 $1,140.55 / $1,577.36 / $2,306.65	Professional		$1,140.55	$1,577.36	$2,306.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,140.55 / $1,609.13 / $2,398.17	Professional		$1,140.55	$1,609.13	$2,398.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $800.29 / $1,401.36	Professional		$108.15	$800.29	$1,401.36
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 $975.58 / $1,477.29 / $2,363.09	Professional		$975.58	$1,477.29	$2,363.09