Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.27 / $6,663.00 / $11,581.00	Facility		$1,848.27	$6,663.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.92 / $1,341.85 / $3,256.53	Professional		$1,188.92	$1,341.85	$3,256.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.47 / $1,586.75 / $2,530.64	Professional		$1,125.47	$1,586.75	$2,530.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,233.08 / $1,582.57 / $2,101.86	Facility		$1,233.08	$1,582.57	$2,101.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,450.69 / $1,846.33 / $127,498.73	Professional		$1,450.69	$1,846.33	$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 $1,336.93 / $1,910.71 / $2,635.02	Professional		$1,336.93	$1,910.71	$2,635.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,570.90	Facility		$1,570.90	$1,570.90	$1,570.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,384.75 / $1,982.29 / $2,573.09	Professional		$1,384.75	$1,982.29	$2,573.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $1,062.55 / $1,714.56	Professional		$168.36	$1,062.55	$1,714.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,796.00 / $13,676.00	Facility		$4,227.00	$8,796.00	$13,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.86 / $1,764.24 / $2,719.05	Professional		$1,108.86	$1,764.24	$2,719.05