Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.18 / $6,251.00 / $11,581.00	Facility		$1,800.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,225.50 / $2,435.66	Professional		$1,042.72	$1,225.50	$2,435.66
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 $997.02 / $1,309.83 / $2,118.26	Professional		$997.02	$1,309.83	$2,118.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,108.32 / $1,422.44 / $1,889.19	Facility		$1,108.32	$1,422.44	$1,889.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,303.91 / $1,659.52 / $127,498.73	Professional		$1,303.91	$1,659.52	$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 $1,202.16 / $1,659.51 / $2,345.46	Professional		$1,202.16	$1,659.51	$2,345.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,244.63 / $1,662.57 / $2,301.81	Professional		$1,244.63	$1,662.57	$2,301.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $887.44 / $1,524.65	Professional		$144.74	$887.44	$1,524.65
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 $987.10 / $1,539.07 / $2,485.83	Professional		$987.10	$1,539.07	$2,485.83