Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.29 / $6,021.00 / $11,627.00	Facility		$1,605.29	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.56 / $1,098.65 / $2,165.94	Professional		$939.56	$1,098.65	$2,165.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,287.00 / $7,946.96 / $14,996.00	Facility		$3,287.00	$7,946.96	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.77 / $1,273.14 / $2,007.25	Professional		$897.77	$1,273.14	$2,007.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $987.55 / $1,267.44 / $1,683.32	Facility		$987.55	$1,267.44	$1,683.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,161.82 / $1,478.68 / $127,498.73	Professional		$1,161.82	$1,478.68	$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 $1,107.70 / $1,513.64 / $2,161.21	Professional		$1,107.70	$1,513.64	$2,161.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $1,260.32 / $1,260.32	Facility		$1,260.32	$1,260.32	$1,260.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,109.01 / $1,531.49 / $2,161.21	Professional		$1,109.01	$1,531.49	$2,161.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $765.92 / $1,304.27	Professional		$108.15	$765.92	$1,304.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.03 / $1,376.49 / $2,241.21	Professional		$892.03	$1,376.49	$2,241.21