Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,251.00 / $11,581.00	Facility		$2,264.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,475.05 / $1,724.25 / $3,453.40	Professional		$1,475.05	$1,724.25	$3,453.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.84 / $1,344.34 / $2,354.42	Professional		$952.84	$1,344.34	$2,354.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,566.77 / $2,010.83 / $2,670.63	Facility		$1,566.77	$2,010.83	$2,670.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,843.26 / $2,345.96 / $127,498.73	Professional		$1,843.26	$2,345.96	$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 $1,488.06 / $2,263.06 / $3,313.02	Professional		$1,488.06	$2,263.06	$3,313.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,532.75 / $2,308.42 / $3,229.26	Professional		$1,532.75	$2,308.42	$3,229.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,204.35 / $2,094.66	Professional		$216.49	$1,204.35	$2,094.66
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 $1,203.18 / $2,116.98 / $3,592.03	Professional		$1,203.18	$2,116.98	$3,592.03