Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.00 / $4,777.38 / $12,565.00	Facility		$1,656.00	$4,777.38	$12,565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $228.50 / $6,845.81	Professional		$50.00	$228.50	$6,845.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $5,208.00 / $17,584.00	Facility		$716.00	$5,208.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,577.20 / $60,749.39 / $72,899.27	Facility		$7,577.20	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $118.13 / $122.85	Professional		$118.13	$118.13	$122.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $21,571.00	Facility		$425.00	$562.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,929.44 / $6,520.13	Facility		$425.00	$2,929.44	$6,520.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
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 $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $32.63	Professional		$32.63	$32.63	$32.63