Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,952.24 / $6,251.00 / $11,581.00	Facility		$1,952.24	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $1,487.92 / $2,994.25	Professional		$1,283.96	$1,487.92	$2,994.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.82 / $1,473.13 / $2,424.76	Professional		$1,076.82	$1,473.13	$2,424.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,354.52 / $1,738.42 / $2,308.83	Facility		$1,354.52	$1,738.42	$2,308.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,593.55 / $2,028.15 / $127,498.73	Professional		$1,593.55	$2,028.15	$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 $1,485.37 / $2,015.72 / $2,816.96	Professional		$1,485.37	$2,015.72	$2,816.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $1,736.96 / $1,736.96	Facility		$1,736.96	$1,736.96	$1,736.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,521.12 / $2,028.16 / $2,816.96	Professional		$1,521.12	$2,028.16	$2,816.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,079.30 / $1,826.32	Professional		$144.74	$1,079.30	$1,826.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.66 / $1,795.69 / $3,013.80	Professional		$1,189.66	$1,795.69	$3,013.80