Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.58 / $2,485.00 / $9,516.00	Facility		$543.58	$2,485.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $543.58 / $4,322.51	Professional		$158.03	$543.58	$4,322.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $1,848.11 / $4,131.22	Professional		$164.71	$1,848.11	$4,131.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.19 / $197.03 / $243.87	Facility		$164.19	$197.03	$243.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,494.67 / $2,494.67 / $3,204.84	Professional		$2,494.67	$2,494.67	$3,204.84
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 $197.03 / $2,267.89 / $4,957.68	Professional		$197.03	$2,267.89	$4,957.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,395.12 / $3,395.12 / $3,395.12	Facility		$3,395.12	$3,395.12	$3,395.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $2,290.57 / $5,322.35	Professional		$200.32	$2,290.57	$5,322.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,126.33 / $2,857.44 / $4,084.16	Professional		$2,126.33	$2,857.44	$4,084.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,875.87 / $3,945.58 / $6,420.28	Professional		$2,875.87	$3,945.58	$6,420.28