Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.23 / $6,251.00 / $11,581.00	Facility		$1,754.23	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.43 / $1,179.71 / $1,943.92	Professional		$849.43	$1,179.71	$1,943.92
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 $832.73 / $1,087.45 / $1,738.65	Professional		$832.73	$1,087.45	$1,738.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.36 / $1,362.36 / $1,602.78	Facility		$1,362.36	$1,362.36	$1,602.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,604.53 / $2,604.53 / $127,498.73	Professional		$2,604.53	$2,604.53	$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 $1,129.84 / $1,679.51 / $2,410.71	Professional		$1,129.84	$1,679.51	$2,410.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,244.08 / $1,679.51 / $2,410.71	Professional		$1,244.08	$1,679.51	$2,410.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $763.51 / $1,319.64 / $2,462.23	Professional		$763.51	$1,319.64	$2,462.23