Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.18 / $6,251.00 / $11,581.00	Facility		$1,714.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.26 / $1,164.21 / $2,329.19	Professional		$1,016.26	$1,164.21	$2,329.19
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 $1,005.87 / $1,416.65 / $2,249.64	Professional		$1,005.87	$1,416.65	$2,249.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,054.15 / $1,352.93 / $1,674.54	Facility		$1,054.15	$1,352.93	$1,674.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,240.18 / $1,578.42 / $127,498.73	Professional		$1,240.18	$1,578.42	$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 $1,180.56 / $1,643.05 / $2,354.73	Professional		$1,180.56	$1,643.05	$2,354.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,346.78	Facility		$1,346.78	$1,346.78	$1,346.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,183.81 / $1,683.24 / $2,363.06	Professional		$1,183.81	$1,683.24	$2,363.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $853.56 / $1,424.57	Professional		$108.15	$853.56	$1,424.57
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 $934.63 / $1,462.10 / $2,307.11	Professional		$934.63	$1,462.10	$2,307.11