Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $3,053.00 / $11,581.00	Facility		$1,109.00	$3,053.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $1,032.90 / $1,417.04	Professional		$224.97	$1,032.90	$1,417.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $735.90 / $7,496.00	Facility		$337.94	$735.90	$7,496.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $436.10 / $684.90	Professional		$328.04	$436.10	$684.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,885.87 / $28,288.05 / $57,600.12	Facility		$1,885.87	$28,288.05	$57,600.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,958.40 / $29,376.06 / $51,840.11	Professional		$1,958.40	$29,376.06	$51,840.11
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,927.06 / $1,927.06 / $6,763.38	Professional		$1,927.06	$1,927.06	$6,763.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.10 / $1,526.14 / $2,374.67	Professional		$913.10	$1,526.14	$2,374.67