Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.96 / $6,756.00 / $14,500.00	Facility		$2,011.96	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.50 / $1,567.10 / $3,136.63	Professional		$1,378.50	$1,567.10	$3,136.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $41,878.69 / $76,926.81	Facility		$3,405.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.16 / $1,791.43 / $2,867.16	Professional		$1,291.16	$1,791.43	$2,867.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,421.81 / $1,824.78 / $2,423.54	Facility		$1,421.81	$1,824.78	$2,423.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,672.72 / $2,128.91 / $127,498.73	Professional		$1,672.72	$2,128.91	$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 $1,557.40 / $2,128.90 / $3,171.31	Professional		$1,557.40	$2,128.90	$3,171.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,815.97	Facility		$1,815.97	$1,815.97	$1,815.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,596.68 / $2,204.11 / $3,182.23	Professional		$1,596.68	$2,204.11	$3,182.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,115.57 / $1,882.68	Professional		$216.49	$1,115.57	$1,882.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.83 / $1,990.06 / $3,328.27	Professional		$1,312.83	$1,990.06	$3,328.27