Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.00 / $3,116.00 / $11,581.00	Facility		$1,679.00	$3,116.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $1,387.00 / $9,534.00	Professional		$267.04	$1,387.00	$9,534.00
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 $14,668.37 / $60,749.39 / $72,899.27	Facility		$14,668.37	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,936.74 / $75,936.74 / $78,974.21	Professional		$75,936.74	$75,936.74	$78,974.21
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 $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $441.00	Professional		$441.00	$441.00	$441.00
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 $123.00 / $881.00 / $3,398.00	Facility		$123.00	$881.00	$3,398.00