Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,014.00 / $11,581.00	Facility		$1,048.00	$3,014.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $372.34 / $1,000.00	Professional		$260.08	$372.34	$1,000.00
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 $2,072.58 / $2,711.42 / $4,154.91	Professional		$2,072.58	$2,711.42	$4,154.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.00 / $4,973.67 / $11,374.89	Facility		$346.00	$4,973.67	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $5,838.65 / $10,303.50	Professional		$389.24	$5,838.65	$10,303.50
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 $434.29 / $434.29 / $434.29	Facility		$434.29	$434.29	$434.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $609.92 / $609.92 / $1,808.56	Professional		$609.92	$609.92	$1,808.56
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 $313.16 / $506.32 / $741.67	Professional		$313.16	$506.32	$741.67