Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.41 / $4,723.00 / $11,627.00	Facility		$1,086.41	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.05 / $1,097.09 / $1,877.65	Professional		$955.05	$1,097.09	$1,877.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.54 / $1,150.05 / $1,841.99	Professional		$748.54	$1,150.05	$1,841.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.84 / $1,383.34 / $1,837.25	Facility		$1,077.84	$1,383.34	$1,837.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,268.06 / $1,613.89 / $127,498.73	Professional		$1,268.06	$1,613.89	$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 $1,030.99 / $1,498.61 / $2,204.14	Professional		$1,030.99	$1,498.61	$2,204.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,366.34 / $1,366.34 / $1,366.34	Facility		$1,366.34	$1,366.34	$1,366.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,089.04 / $1,539.21 / $2,204.14	Professional		$1,089.04	$1,539.21	$2,204.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $1,046.15 / $1,583.80	Professional		$170.81	$1,046.15	$1,583.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $4,951.00	Facility		$1,689.00	$2,665.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.45 / $1,378.67 / $2,205.03	Professional		$856.45	$1,378.67	$2,205.03