Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.67 / $5,201.00 / $11,627.00	Facility		$1,767.67	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.93 / $1,207.21 / $2,383.50	Professional		$1,035.93	$1,207.21	$2,383.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.93 / $1,262.34 / $2,019.69	Professional		$930.93	$1,262.34	$2,019.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,088.18 / $1,396.58 / $1,854.84	Facility		$1,088.18	$1,396.58	$1,854.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,280.20 / $1,629.35 / $127,498.73	Professional		$1,280.20	$1,629.35	$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 $1,199.33 / $1,629.35 / $2,297.79	Professional		$1,199.33	$1,629.35	$2,297.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $1,673.96 / $2,234.84	Professional		$1,222.02	$1,673.96	$2,234.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $840.64 / $1,479.06	Professional		$144.74	$840.64	$1,479.06
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 $982.07 / $1,530.49 / $2,466.48	Professional		$982.07	$1,530.49	$2,466.48