Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.68 / $6,251.00 / $11,581.00	Facility		$1,500.68	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.15 / $1,009.20 / $2,020.17	Professional		$876.15	$1,009.20	$2,020.17
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 $829.58 / $1,125.41 / $1,897.44	Professional		$829.58	$1,125.41	$1,897.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.70 / $1,185.50 / $1,574.51	Facility		$923.70	$1,185.50	$1,574.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,086.71 / $1,383.09 / $127,498.73	Professional		$1,086.71	$1,383.09	$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 $1,019.07 / $1,383.09 / $2,000.71	Professional		$1,019.07	$1,383.09	$2,000.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,019.07 / $1,390.58 / $2,000.71	Professional		$1,019.07	$1,390.58	$2,000.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $728.20 / $1,247.48	Professional		$72.37	$728.20	$1,247.48
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 $838.72 / $1,240.40 / $2,073.63	Professional		$838.72	$1,240.40	$2,073.63