Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.26 / $5,135.00 / $11,627.00	Facility		$1,260.26	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.72 / $1,302.09 / $2,463.27	Professional		$1,107.72	$1,302.09	$2,463.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.88 / $1,494.49 / $2,394.58	Professional		$1,085.88	$1,494.49	$2,394.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.92 / $1,605.46 / $1,987.10	Facility		$1,250.92	$1,605.46	$1,987.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,471.67 / $1,873.03 / $127,498.73	Professional		$1,471.67	$1,873.03	$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 $1,349.80 / $1,824.69 / $2,556.81	Professional		$1,349.80	$1,824.69	$2,556.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,585.07	Facility		$1,585.07	$1,585.07	$1,585.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,404.77 / $1,873.03 / $2,556.81	Professional		$1,404.77	$1,873.03	$2,556.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $1,208.33 / $1,829.88	Professional		$170.81	$1,208.33	$1,829.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.92 / $1,712.88 / $2,805.84	Professional		$1,095.92	$1,712.88	$2,805.84