Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,479.00 / $10,817.74	Facility		$1,610.00	$5,479.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,285.14 / $3,238.03	Professional		$1,082.89	$1,285.14	$3,238.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,173.00 / $36,529.00	Facility		$2,097.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.90 / $1,411.73 / $2,327.73	Professional		$1,040.90	$1,411.73	$2,327.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,136.54 / $1,458.66 / $1,805.40	Facility		$1,136.54	$1,458.66	$1,805.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,337.11 / $1,701.77 / $127,498.73	Professional		$1,337.11	$1,701.77	$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 $1,253.16 / $1,701.85 / $2,493.23	Professional		$1,253.16	$1,701.85	$2,493.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $1,448.89 / $1,448.89	Facility		$1,448.89	$1,448.89	$1,448.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,276.32 / $1,758.72 / $2,493.23	Professional		$1,276.32	$1,758.72	$2,493.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $915.96 / $1,530.98	Professional		$144.74	$915.96	$1,530.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $9,125.00 / $18,211.00	Facility		$4,070.00	$9,125.00	$18,211.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.74 / $1,551.83 / $2,599.57	Professional		$1,013.74	$1,551.83	$2,599.57