Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.24 / $2,485.00 / $10,635.00	Facility		$303.24	$2,485.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $134.43 / $309.88	Professional		$123.11	$134.43	$309.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.98 / $12.14	Professional		$6.06	$7.98	$12.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $1,882.20 / $4,234.95	Facility		$138.03	$1,882.20	$4,234.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.99 / $2,159.82 / $3,811.46	Professional		$143.99	$2,159.82	$3,811.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $216.10 / $640.77	Professional		$216.10	$216.10	$640.77
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 Professional Modifier Low / Median / High Price $176.88 / $240.78 / $360.28	Professional		$176.88	$240.78	$360.28