Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.28 / $6,251.00 / $11,581.00	Facility		$1,873.28	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.84 / $1,276.42 / $3,026.03	Professional		$1,101.84	$1,276.42	$3,026.03
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 $1,042.67 / $1,444.98 / $2,247.04	Professional		$1,042.67	$1,444.98	$2,247.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,152.39 / $1,479.00 / $1,964.30	Facility		$1,152.39	$1,479.00	$1,964.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,355.75 / $1,725.50 / $127,498.73	Professional		$1,355.75	$1,725.50	$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 $1,289.53 / $1,756.57 / $2,496.75	Professional		$1,289.53	$1,756.57	$2,496.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,471.08 / $1,471.08 / $1,471.08	Facility		$1,471.08	$1,471.08	$1,471.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,294.13 / $1,787.13 / $2,496.75	Professional		$1,294.13	$1,787.13	$2,496.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $905.56 / $1,528.45	Professional		$144.74	$905.56	$1,528.45
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 $1,043.76 / $1,598.77 / $2,625.12	Professional		$1,043.76	$1,598.77	$2,625.12