Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,062.67 / $6,756.00 / $14,500.00	Facility		$2,062.67	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.48 / $1,604.99 / $3,206.10	Professional		$1,405.48	$1,604.99	$3,206.10
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 $1,296.42 / $1,800.35 / $2,882.60	Professional		$1,296.42	$1,800.35	$2,882.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,456.33 / $1,869.10 / $2,482.40	Facility		$1,456.33	$1,869.10	$2,482.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,713.34 / $2,180.61 / $127,498.73	Professional		$1,713.34	$2,180.61	$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 $1,597.77 / $2,182.88 / $3,199.59	Professional		$1,597.77	$2,182.88	$3,199.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,635.46 / $2,237.50 / $3,199.59	Professional		$1,635.46	$2,237.50	$3,199.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,136.87 / $1,921.42	Professional		$216.68	$1,136.87	$1,921.42
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 $1,325.36 / $2,031.09 / $3,399.69	Professional		$1,325.36	$2,031.09	$3,399.69