Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,989.00 / $11,581.00	Facility		$951.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.04 / $772.30 / $13,531.45	Professional		$586.04	$772.30	$13,531.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $735.90 / $7,702.00	Facility		$337.94	$735.90	$7,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $531.96 / $847.29	Professional		$409.20	$531.96	$847.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.23 / $10,680.70 / $57,049.43	Facility		$623.23	$10,680.70	$57,049.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.20 / $9,708.02 / $17,131.80	Professional		$647.20	$9,708.02	$17,131.80
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 $989.08 / $989.08 / $989.08	Facility		$989.08	$989.08	$989.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,286.63 / $1,286.63 / $2,832.91	Professional		$1,286.63	$1,286.63	$2,832.91
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $701.38 / $1,522.26	Professional		$235.29	$701.38	$1,522.26