Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,697.00 / $10,635.00	Facility		$1,406.00	$3,697.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.91 / $1,128.01 / $2,339.84	Professional		$1,000.91	$1,128.01	$2,339.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.55 / $1,265.66 / $2,029.97	Professional		$960.55	$1,265.66	$2,029.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.29 / $1,337.70 / $1,776.63	Facility		$1,042.29	$1,337.70	$1,776.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,560.65 / $127,498.73	Professional		$1,226.23	$1,560.65	$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 $1,133.56 / $1,582.66 / $2,164.82	Professional		$1,133.56	$1,582.66	$2,164.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,170.49 / $1,631.38 / $2,164.82	Professional		$1,170.49	$1,631.38	$2,164.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.17 / $1,028.38 / $1,530.38	Professional		$134.17	$1,028.38	$1,530.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.07 / $1,473.76 / $2,210.54	Professional		$924.07	$1,473.76	$2,210.54