Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,989.00 / $11,581.00	Facility		$1,048.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $252.93 / $314.57	Professional		$153.31	$252.93	$314.57
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 $133.53 / $288.77 / $609.29	Professional		$133.53	$288.77	$609.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.09 / $4,583.10 / $10,311.98	Facility		$336.09	$4,583.10	$10,311.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.61 / $5,259.11 / $9,280.79	Professional		$350.61	$5,259.11	$9,280.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $426.42 / $1,526.35	Professional		$426.42	$426.42	$1,526.35
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 $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $311.83 / $475.66	Professional		$189.98	$311.83	$475.66