Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.87 / $2,606.00 / $11,581.00	Facility		$838.87	$2,606.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.08 / $702.50 / $1,413.49	Professional		$231.08	$702.50	$1,413.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $159.19 / $249.00	Professional		$121.57	$159.19	$249.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.23 / $3,534.62 / $12,729.01	Facility		$277.23	$3,534.62	$12,729.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.70 / $3,670.57 / $6,477.47	Professional		$244.70	$3,670.57	$6,477.47
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 $4,365.89 / $4,365.89 / $4,365.89	Facility		$4,365.89	$4,365.89	$4,365.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $547.79 / $547.79 / $547.79	Professional		$547.79	$547.79	$547.79
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 / $2,833.00	Facility		$444.00	$965.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.37 / $178.33	Professional		$45.00	$59.37	$178.33