Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $6,492.00 / $11,581.00	Facility		$1,622.00	$6,492.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.97 / $493.33 / $575.51	Professional		$320.97	$493.33	$575.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,180.00 / $30,285.00	Facility		$2,777.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.29 / $725.99 / $1,067.16	Professional		$522.29	$725.99	$1,067.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.47 / $7,192.80 / $14,025.96	Facility		$527.47	$7,192.80	$14,025.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $550.25 / $8,253.74 / $14,565.42	Professional		$550.25	$8,253.74	$14,565.42
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 $575.40 / $575.40 / $575.40	Facility		$575.40	$575.40	$575.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $808.15 / $808.15 / $2,397.90	Professional		$808.15	$808.15	$2,397.90
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 $2,647.00 / $4,383.00 / $7,351.00	Facility		$2,647.00	$4,383.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.06 / $651.29 / $1,025.94	Professional		$418.06	$651.29	$1,025.94