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 $117.95 / $182.63 / $317.61	Professional		$117.95	$182.63	$317.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $183.00 / $278.43	Professional		$138.88	$183.00	$278.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $2,665.95 / $11,374.89	Facility		$181.28	$2,665.95	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $3,059.18 / $5,398.55	Professional		$203.95	$3,059.18	$5,398.55
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 $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $299.18 / $299.18 / $888.71	Professional		$299.18	$299.18	$888.71
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 $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $225.56 / $361.98	Professional		$144.74	$225.56	$361.98