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 $872.89 / $1,020.90 / $2,013.51	Professional		$872.89	$1,020.90	$2,013.51
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 $836.75 / $1,116.33 / $1,843.75	Professional		$836.75	$1,116.33	$1,843.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $921.07 / $1,182.11 / $1,570.01	Facility		$921.07	$1,182.11	$1,570.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,083.60 / $1,379.14 / $127,498.73	Professional		$1,083.60	$1,379.14	$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 $1,034.34 / $1,379.14 / $1,968.00	Professional		$1,034.34	$1,379.14	$1,968.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,175.09 / $1,175.09 / $1,175.09	Facility		$1,175.09	$1,175.09	$1,175.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,034.34 / $1,424.26 / $1,968.00	Professional		$1,034.34	$1,424.26	$1,968.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $728.20 / $1,247.48	Professional		$72.37	$728.20	$1,247.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.66 / $1,255.61 / $2,084.33	Professional		$819.66	$1,255.61	$2,084.33