Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,989.00 / $11,581.00	Facility		$1,048.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $669.21 / $929.61	Professional		$294.39	$669.21	$929.61
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 $420.25 / $546.33 / $870.17	Professional		$420.25	$546.33	$870.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.59 / $10,172.81 / $57,049.43	Facility		$593.59	$10,172.81	$57,049.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.42 / $9,246.37 / $16,317.15	Professional		$616.42	$9,246.37	$16,317.15
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 $919.07 / $919.07 / $919.07	Facility		$919.07	$919.07	$919.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,209.33 / $1,209.33 / $2,786.10	Professional		$1,209.33	$1,209.33	$2,786.10
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 $324.05 / $535.69 / $881.34	Professional		$324.05	$535.69	$881.34