Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,597.00 / $10,817.74	Facility		$1,610.00	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.71 / $1,339.42 / $2,619.50	Professional		$1,180.71	$1,339.42	$2,619.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.83 / $1,604.25 / $2,603.08	Professional		$1,111.83	$1,604.25	$2,603.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.50 / $1,562.57 / $2,075.28	Facility		$1,217.50	$1,562.57	$2,075.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,432.35 / $1,823.00 / $127,498.73	Professional		$1,432.35	$1,823.00	$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 $1,302.14 / $1,877.46 / $2,770.80	Professional		$1,302.14	$1,877.46	$2,770.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,553.88 / $1,553.88 / $1,553.88	Facility		$1,553.88	$1,553.88	$1,553.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,326.17 / $1,892.65 / $2,770.80	Professional		$1,326.17	$1,892.65	$2,770.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $1,032.11 / $1,668.11	Professional		$143.34	$1,032.11	$1,668.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.00 / $1,736.33 / $2,721.33	Professional		$1,106.00	$1,736.33	$2,721.33