Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Facility		$398.00	$398.00	$398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $1,606.00 / $3,117.00	Facility		$802.00	$1,606.00	$3,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $351.60 / $555.59	Professional		$285.86	$351.60	$555.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $52,499.48 / $62,999.37	Facility		$11,374.89	$52,499.48	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $450.48 / $700.00	Facility		$450.48	$450.48	$700.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.48 / $450.48 / $700.00	Facility		$450.48	$450.48	$700.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00