Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,053.00 / $11,581.00	Facility		$1,048.00	$3,053.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $655.99 / $738.91	Professional		$224.97	$655.99	$738.91
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 / $440.73 / $684.90	Professional		$328.04	$440.73	$684.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $737.61 / $11,374.89 / $57,049.43	Facility		$737.61	$11,374.89	$57,049.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.98 / $11,489.69 / $20,275.91	Professional		$765.98	$11,489.69	$20,275.91
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 $847.20 / $847.20 / $847.20	Facility		$847.20	$847.20	$847.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,189.89 / $1,189.89 / $3,526.70	Professional		$1,189.89	$1,189.89	$3,526.70
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 $480.07 / $791.71 / $1,210.95	Professional		$480.07	$791.71	$1,210.95