Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $6,410.00 / $11,581.00	Facility		$2,421.00	$6,410.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $3,696.00 / $10,268.00	Professional		$950.00	$3,696.00	$10,268.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $3,967.00 / $25,522.00	Facility		$1,425.00	$3,967.00	$25,522.00
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 $26,999.73 / $60,749.39 / $72,899.27	Facility		$26,999.73	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78,974.21 / $104,998.95 / $104,998.95	Professional		$78,974.21	$104,998.95	$104,998.95
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 $1,463.00 / $4,504.25 / $4,504.25	Professional		$1,463.00	$4,504.25	$4,504.25
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 $1,463.00 / $1,463.00 / $4,504.25	Professional		$1,463.00	$1,463.00	$4,504.25
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 $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00