Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,712.80 / $6,006.00	Facility		$1,950.00	$3,712.80	$6,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $1,618.50	Professional		$358.75	$358.75	$1,618.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $2,106.00 / $4,723.14	Professional		$239.16	$2,106.00	$4,723.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $9,506.25 / $50,457.14	Facility		$1,950.00	$9,506.25	$50,457.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.32 / $4,680.00 / $45,862.11	Professional		$2,038.32	$4,680.00	$45,862.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $2,007.72 / $7,541.06	Facility		$124.22	$2,007.72	$7,541.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.26 / $1,560.00 / $10,976.34	Professional		$783.26	$1,560.00	$10,976.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $2,007.72 / $11,292.04	Facility		$124.22	$2,007.72	$11,292.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Professional		$1,560.00	$1,560.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $2,575.37	Professional		$819.00	$1,170.00	$2,575.37