Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.29 / $5,201.00 / $11,627.00	Facility		$1,638.29	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.93 / $1,276.17 / $2,518.19	Professional		$1,082.93	$1,276.17	$2,518.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $7,398.00 / $36,529.00	Facility		$2,097.00	$7,398.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.07 / $953.05 / $1,724.91	Professional		$648.07	$953.05	$1,724.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.44 / $1,471.37 / $1,954.16	Facility		$1,146.44	$1,471.37	$1,954.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.75 / $1,716.60 / $127,498.73	Professional		$1,348.75	$1,716.60	$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 $1,287.45 / $1,716.60 / $2,377.28	Professional		$1,287.45	$1,716.60	$2,377.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,466.37 / $1,466.37 / $1,466.37	Facility		$1,466.37	$1,466.37	$1,466.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,287.45 / $1,716.60 / $2,377.28	Professional		$1,287.45	$1,716.60	$2,377.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $899.84 / $1,548.68	Professional		$144.74	$899.84	$1,548.68
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 $1,012.61 / $1,554.71 / $2,686.13	Professional		$1,012.61	$1,554.71	$2,686.13