Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.81 / $6,251.00 / $11,581.00	Facility		$2,210.81	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.59 / $1,498.12 / $3,602.59	Professional		$1,280.59	$1,498.12	$3,602.59
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 $861.97 / $1,184.94 / $2,053.54	Professional		$861.97	$1,184.94	$2,053.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,361.46 / $1,747.32 / $2,320.67	Facility		$1,361.46	$1,747.32	$2,320.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,601.71 / $2,038.54 / $127,498.73	Professional		$1,601.71	$2,038.54	$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 $1,317.20 / $1,965.74 / $2,871.78	Professional		$1,317.20	$1,965.74	$2,871.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,328.81 / $1,996.48 / $2,797.52	Professional		$1,328.81	$1,996.48	$2,797.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,072.96 / $1,838.65	Professional		$144.74	$1,072.96	$1,838.65
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 $1,074.81 / $1,847.82 / $3,171.94	Professional		$1,074.81	$1,847.82	$3,171.94