Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.77 / $3,696.00 / $11,581.00	Facility		$576.77	$3,696.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.05 / $339.28 / $444.68	Professional		$234.05	$339.28	$444.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $100.76 / $155.02	Professional		$77.20	$100.76	$155.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.70 / $6,009.60 / $11,718.72	Facility		$440.70	$6,009.60	$11,718.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $459.73 / $6,896.02 / $12,169.44	Professional		$459.73	$6,896.02	$12,169.44
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 $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.77 / $555.77 / $1,646.42	Professional		$555.77	$555.77	$1,646.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$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 $304.89 / $476.39 / $748.44	Professional		$304.89	$476.39	$748.44