Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.92 / $6,251.00 / $11,581.00	Facility		$1,617.92	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.25 / $1,088.04 / $2,180.17	Professional		$950.25	$1,088.04	$2,180.17
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 $836.95 / $1,159.93 / $1,841.96	Professional		$836.95	$1,159.93	$1,841.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $995.81 / $1,278.05 / $1,697.42	Facility		$995.81	$1,278.05	$1,697.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.54 / $1,491.06 / $127,498.73	Professional		$1,171.54	$1,491.06	$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 $1,083.61 / $1,491.05 / $2,081.78	Professional		$1,083.61	$1,491.05	$2,081.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,118.29 / $1,543.02 / $2,045.51	Professional		$1,118.29	$1,543.02	$2,045.51
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 $876.40 / $1,359.70 / $2,193.21	Professional		$876.40	$1,359.70	$2,193.21