Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $7,155.00 / $11,581.00	Facility		$2,264.00	$7,155.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.23 / $1,544.31 / $2,809.52	Professional		$1,340.23	$1,544.31	$2,809.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.26 / $1,566.03 / $2,491.08	Professional		$1,164.26	$1,566.03	$2,491.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,402.60 / $1,800.12 / $2,390.79	Facility		$1,402.60	$1,800.12	$2,390.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,650.11 / $2,100.14 / $127,498.73	Professional		$1,650.11	$2,100.14	$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 $1,563.61 / $2,100.14 / $2,983.91	Professional		$1,563.61	$2,100.14	$2,983.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,575.10 / $2,171.35 / $2,906.04	Professional		$1,575.10	$2,171.35	$2,906.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,107.08 / $1,879.08	Professional		$144.74	$1,107.08	$1,879.08
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 $1,241.83 / $1,925.30 / $3,211.50	Professional		$1,241.83	$1,925.30	$3,211.50