Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.19 / $6,251.00 / $11,581.00	Facility		$1,507.19	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.06 / $1,023.76 / $2,042.61	Professional		$890.06	$1,023.76	$2,042.61
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 $1,006.96 / $1,309.06 / $2,095.73	Professional		$1,006.96	$1,309.06	$2,095.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.51 / $1,189.09 / $1,579.28	Facility		$926.51	$1,189.09	$1,579.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.01 / $1,387.29 / $127,498.73	Professional		$1,090.01	$1,387.29	$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 $1,038.22 / $1,456.65 / $2,113.25	Professional		$1,038.22	$1,456.65	$2,113.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,183.90 / $1,183.90 / $1,183.90	Facility		$1,183.90	$1,183.90	$1,183.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,040.46 / $1,481.37 / $2,133.92	Professional		$1,040.46	$1,481.37	$2,133.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $730.83 / $1,260.69	Professional		$107.95	$730.83	$1,260.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.31 / $1,342.86 / $2,159.16	Professional		$907.31	$1,342.86	$2,159.16