Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.22 / $6,582.00 / $11,627.00	Facility		$1,592.22	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.87 / $1,087.21 / $2,143.94	Professional		$934.87	$1,087.21	$2,143.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $29,300.94 / $53,822.78	Facility		$3,405.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.56 / $1,165.65 / $1,924.23	Professional		$874.56	$1,165.65	$1,924.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $980.11 / $1,257.90 / $1,670.66	Facility		$980.11	$1,257.90	$1,670.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,153.08 / $1,467.55 / $127,498.73	Professional		$1,153.08	$1,467.55	$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 $1,100.66 / $1,467.55 / $2,107.86	Professional		$1,100.66	$1,467.55	$2,107.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,249.94 / $1,249.94 / $1,249.94	Facility		$1,249.94	$1,249.94	$1,249.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,100.66 / $1,519.97 / $2,107.86	Professional		$1,100.66	$1,519.97	$2,107.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $765.92 / $1,304.27	Professional		$108.15	$765.92	$1,304.27
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 $869.59 / $1,335.72 / $2,220.80	Professional		$869.59	$1,335.72	$2,220.80