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 $167.66 / $242.65 / $300.45	Professional		$167.66	$242.65	$300.45
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 $240.42 / $3,455.95 / $7,954.88	Facility		$240.42	$3,455.95	$7,954.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $4,056.99 / $7,159.40	Professional		$270.47	$4,056.99	$7,159.40
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 $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $397.50 / $1,178.68	Professional		$397.50	$397.50	$1,178.68
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 $221.97 / $352.30 / $545.67	Professional		$221.97	$352.30	$545.67