Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,812.91 / $11,581.00	Facility		$2,264.00	$6,812.91	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.88 / $1,997.77 / $4,016.56	Professional		$1,713.88	$1,997.77	$4,016.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $29,300.94 / $53,822.78	Facility		$3,405.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.30 / $1,242.45 / $2,713.34	Professional		$853.30	$1,242.45	$2,713.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.02 / $2,334.56 / $3,100.59	Facility		$1,819.02	$2,334.56	$3,100.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,140.02 / $2,723.66 / $127,498.73	Professional		$2,140.02	$2,723.66	$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 $1,403.36 / $2,636.02 / $3,859.92	Professional		$1,403.36	$2,636.02	$3,859.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,322.98 / $2,322.98 / $2,322.98	Facility		$2,322.98	$2,322.98	$2,322.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,653.65 / $2,675.80 / $3,760.89	Professional		$1,653.65	$2,675.80	$3,760.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,413.57 / $2,433.42	Professional		$216.49	$1,413.57	$2,433.42
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 $1,129.03 / $2,369.21 / $3,866.85	Professional		$1,129.03	$2,369.21	$3,866.85