Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,876.00 / $4,418.89 / $10,268.00	Facility		$1,876.00	$4,418.89	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.02 / $1,354.04 / $2,782.59	Professional		$1,159.02	$1,354.04	$2,782.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.13 / $1,521.86 / $2,565.85	Professional		$1,096.13	$1,521.86	$2,565.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,564.79 / $1,564.79 / $1,564.79	Professional		$1,564.79	$1,564.79	$1,564.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.23 / $1,564.79 / $2,078.23	Facility		$1,219.23	$1,564.79	$2,078.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,434.39 / $1,825.59 / $127,498.73	Professional		$1,434.39	$1,825.59	$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 $1,342.96 / $1,888.17 / $2,705.30	Professional		$1,342.96	$1,888.17	$2,705.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,369.19 / $1,892.77 / $2,705.30	Professional		$1,369.19	$1,892.77	$2,705.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $963.36 / $1,639.81	Professional		$144.74	$963.36	$1,639.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.19 / $1,697.33 / $2,769.94	Professional		$1,103.19	$1,697.33	$2,769.94