Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $8,956.00 / $11,627.00	Facility		$268.00	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $257.89 / $274.02	Professional		$185.30	$257.89	$274.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $382.61 / $599.58	Professional		$294.32	$382.61	$599.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.73 / $4,669.72 / $13,683.86	Facility		$335.73	$4,669.72	$13,683.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $5,253.43 / $9,270.75	Professional		$350.23	$5,253.43	$9,270.75
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 $345.94 / $345.94 / $345.94	Facility		$345.94	$345.94	$345.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $439.04 / $439.04 / $1,058.61	Professional		$439.04	$439.04	$1,058.61
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 $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $385.44 / $590.34	Professional		$233.35	$385.44	$590.34