Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.87 / $3,698.00 / $10,635.00	Facility		$1,592.87	$3,698.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.45 / $1,592.87 / $3,235.48	Professional		$1,378.45	$1,592.87	$3,235.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.99 / $1,796.58 / $2,967.21	Professional		$1,271.99	$1,796.58	$2,967.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,446.73 / $1,856.77 / $2,466.03	Facility		$1,446.73	$1,856.77	$2,466.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,702.04 / $2,166.23 / $127,498.73	Professional		$1,702.04	$2,166.23	$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 $1,624.67 / $2,166.23 / $3,036.43	Professional		$1,624.67	$2,166.23	$3,036.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $1,857.88	Facility		$1,857.88	$1,857.88	$1,857.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,624.67 / $2,166.23 / $3,036.43	Professional		$1,624.67	$2,166.23	$3,036.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,129.11 / $1,940.62	Professional		$144.74	$1,129.11	$1,940.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.80 / $1,952.27 / $3,323.85	Professional		$1,283.80	$1,952.27	$3,323.85