Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.35 / $5,135.00 / $10,817.74	Facility		$1,496.35	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.53 / $1,006.29 / $1,827.36	Professional		$851.53	$1,006.29	$1,827.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.58 / $1,058.47 / $1,693.51	Professional		$780.58	$1,058.47	$1,693.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.50 / $1,186.52 / $1,575.86	Facility		$924.50	$1,186.52	$1,575.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,087.65 / $1,384.28 / $127,498.73	Professional		$1,087.65	$1,384.28	$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 $1,002.51 / $1,384.28 / $2,011.84	Professional		$1,002.51	$1,384.28	$2,011.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,179.78 / $1,179.78 / $1,179.78	Facility		$1,179.78	$1,179.78	$1,179.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,038.21 / $1,384.28 / $2,011.84	Professional		$1,038.21	$1,384.28	$2,011.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $733.87 / $1,227.97	Professional		$108.15	$733.87	$1,227.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,383.00 / $7,351.00	Facility		$2,647.00	$4,383.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.82 / $1,269.36 / $2,091.96	Professional		$863.82	$1,269.36	$2,091.96