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 $203.13 / $294.01 / $342.38	Professional		$203.13	$294.01	$342.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $160.00 / $195.07	Professional		$73.06	$160.00	$195.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.92 / $808.65 / $7,546.77	Facility		$304.92	$808.65	$7,546.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $4,573.80 / $7,889.81	Professional		$304.92	$4,573.80	$7,889.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $1,042.24 / $1,758.30	Facility		$363.80	$1,042.24	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.63 / $1,428.12 / $1,428.12	Professional		$481.63	$1,428.12	$1,428.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,042.24 / $1,309.85	Facility		$530.00	$1,042.24	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $481.63 / $481.63 / $1,428.12	Professional		$481.63	$481.63	$1,428.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $376.34 / $615.88	Professional		$266.58	$376.34	$615.88