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 $60.32 / $93.39 / $272.77	Professional		$60.32	$93.39	$272.77
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 $92.53 / $1,272.34 / $3,061.80	Facility		$92.53	$1,272.34	$3,061.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $1,561.52 / $2,755.62	Professional		$104.10	$1,561.52	$2,755.62
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 $108.95 / $108.95 / $108.95	Facility		$108.95	$108.95	$108.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $153.01 / $453.71	Professional		$153.01	$153.01	$453.71
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $116.28 / $185.73	Professional		$73.13	$116.28	$185.73