Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.31 / $5,417.00 / $11,627.00	Facility		$1,688.31	$5,417.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.68 / $1,155.05 / $2,285.37	Professional		$994.68	$1,155.05	$2,285.37
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 $964.95 / $1,366.22 / $2,088.16	Professional		$964.95	$1,366.22	$2,088.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,040.17 / $1,334.98 / $1,773.02	Facility		$1,040.17	$1,334.98	$1,773.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,223.73 / $1,557.47 / $127,498.73	Professional		$1,223.73	$1,557.47	$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 $1,161.91 / $1,613.09 / $2,303.48	Professional		$1,161.91	$1,613.09	$2,303.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,168.09 / $1,623.60 / $2,307.64	Professional		$1,168.09	$1,623.60	$2,307.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $800.29 / $1,401.36	Professional		$108.15	$800.29	$1,401.36
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 $926.83 / $1,435.51 / $2,375.78	Professional		$926.83	$1,435.51	$2,375.78