Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.58 / $6,251.00 / $11,581.00	Facility		$1,760.58	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.93 / $1,200.56 / $2,370.08	Professional		$1,023.93	$1,200.56	$2,370.08
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 $992.84 / $1,324.61 / $2,152.48	Professional		$992.84	$1,324.61	$2,152.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,083.53 / $1,390.63 / $1,846.94	Facility		$1,083.53	$1,390.63	$1,846.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,274.75 / $1,622.40 / $127,498.73	Professional		$1,274.75	$1,622.40	$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 $1,214.21 / $1,647.78 / $2,395.12	Professional		$1,214.21	$1,647.78	$2,395.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,216.80 / $1,680.35 / $2,395.12	Professional		$1,216.80	$1,680.35	$2,395.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $857.20 / $1,483.33	Professional		$144.74	$857.20	$1,483.33
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 $979.84 / $1,508.35 / $2,462.81	Professional		$979.84	$1,508.35	$2,462.81