Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $8,956.00 / $11,627.00	Facility		$296.57	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $296.57 / $379.39	Professional		$215.20	$296.57	$379.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.49 / $549.34 / $873.89	Professional		$424.49	$549.34	$873.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.89 / $4,407.78 / $13,362.94	Facility		$316.89	$4,407.78	$13,362.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.58 / $4,958.75 / $8,750.73	Professional		$330.58	$4,958.75	$8,750.73
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $395.70 / $395.70	Facility		$395.70	$395.70	$395.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.77 / $555.77 / $1,442.19	Professional		$555.77	$555.77	$1,442.19
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 $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $345.71 / $568.80	Professional		$224.24	$345.71	$568.80