Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,053.00 / $11,581.00	Facility		$1,048.00	$3,053.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $244.90 / $320.33	Professional		$180.05	$244.90	$320.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $205.30 / $381.85	Professional		$86.12	$205.30	$381.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.64 / $3,487.92 / $8,028.45	Facility		$242.64	$3,487.92	$8,028.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $4,094.51 / $7,225.61	Professional		$272.97	$4,094.51	$7,225.61
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 $314.45 / $314.45 / $314.45	Facility		$314.45	$314.45	$314.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $441.67 / $441.67 / $1,188.03	Professional		$441.67	$441.67	$1,188.03
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 $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $336.19 / $499.65	Professional		$218.27	$336.19	$499.65