Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $8,956.00 / $11,627.00	Facility		$101.12	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $101.12 / $112.37	Professional		$51.97	$101.12	$112.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $181.70 / $278.43	Professional		$138.88	$181.70	$278.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.86 / $1,373.05 / $3,304.13	Facility		$99.86	$1,373.05	$3,304.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $1,685.10 / $2,973.72	Professional		$112.34	$1,685.10	$2,973.72
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 $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $165.63 / $489.57	Professional		$165.63	$165.63	$489.57
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 $78.31 / $125.79 / $209.21	Professional		$78.31	$125.79	$209.21