Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.39 / $6,251.00 / $11,581.00	Facility		$1,531.39	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.50 / $1,271.19 / $2,521.94	Professional		$1,101.50	$1,271.19	$2,521.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.23 / $1,396.95 / $2,285.05	Professional		$1,047.23	$1,396.95	$2,285.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.83 / $1,474.44 / $1,824.94	Facility		$1,148.83	$1,474.44	$1,824.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,351.57 / $1,720.18 / $127,498.73	Professional		$1,351.57	$1,720.18	$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 $1,285.69 / $1,765.07 / $2,526.35	Professional		$1,285.69	$1,765.07	$2,526.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,290.13 / $1,781.61 / $2,526.35	Professional		$1,290.13	$1,781.61	$2,526.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $905.56 / $1,528.45	Professional		$144.74	$905.56	$1,528.45
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 $1,068.88 / $1,622.30 / $2,672.58	Professional		$1,068.88	$1,622.30	$2,672.58