Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.98 / $5,135.00 / $10,817.74	Facility		$1,519.98	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.14 / $1,034.91 / $2,041.56	Professional		$886.14	$1,034.91	$2,041.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,279.00 / $30,285.00	Facility		$2,777.00	$7,279.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.46 / $1,164.60 / $1,909.22	Professional		$863.46	$1,164.60	$1,909.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.64 / $1,202.09 / $1,596.54	Facility		$936.64	$1,202.09	$1,596.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.93 / $1,402.45 / $127,498.73	Professional		$1,101.93	$1,402.45	$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 $1,039.84 / $1,420.85 / $2,056.82	Professional		$1,039.84	$1,420.85	$2,056.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $1,196.30 / $1,196.30	Facility		$1,196.30	$1,196.30	$1,196.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,051.83 / $1,441.84 / $2,056.82	Professional		$1,051.83	$1,441.84	$2,056.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $728.48 / $1,247.48	Professional		$72.37	$728.48	$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 $828.01 / $1,299.60 / $2,112.87	Professional		$828.01	$1,299.60	$2,112.87