Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.69 / $6,251.00 / $11,581.00	Facility		$1,406.69	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.61 / $1,101.03 / $2,171.35	Professional		$942.61	$1,101.03	$2,171.35
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 $894.91 / $1,197.05 / $1,911.95	Professional		$894.91	$1,197.05	$1,911.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $991.67 / $1,272.73 / $1,690.35	Facility		$991.67	$1,272.73	$1,690.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,166.67 / $1,484.85 / $127,498.73	Professional		$1,166.67	$1,484.85	$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 $1,112.41 / $1,484.86 / $2,156.92	Professional		$1,112.41	$1,484.86	$2,156.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,264.76 / $1,264.76 / $1,264.76	Facility		$1,264.76	$1,264.76	$1,264.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,113.65 / $1,536.05 / $2,156.92	Professional		$1,113.65	$1,536.05	$2,156.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $774.34 / $1,340.75	Professional		$108.15	$774.34	$1,340.75
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 $895.38 / $1,399.49 / $2,246.40	Professional		$895.38	$1,399.49	$2,246.40