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 $321.76 / $434.62 / $664.57	Professional		$321.76	$434.62	$664.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.41 / $467.59 / $706.38	Professional		$345.41	$467.59	$706.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.54 / $5,121.00 / $11,374.89	Facility		$375.54	$5,121.00	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.76 / $5,876.35 / $10,370.03	Professional		$391.76	$5,876.35	$10,370.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $506.90 / $506.90	Facility		$506.90	$506.90	$506.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $711.93 / $711.93 / $2,112.61	Professional		$711.93	$711.93	$2,112.61
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.96 / $719.46 / $1,145.75	Professional		$452.96	$719.46	$1,145.75