Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $3,524.73 / $10,268.00	Facility		$1,593.00	$3,524.73	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $2,239.19 / $4,600.00	Professional		$257.83	$2,239.19	$4,600.00
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 $135.00 / $162.00 / $26,999.73	Facility		$135.00	$162.00	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $126.56 / $131.63	Professional		$126.56	$126.56	$131.63
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 $1,654.00 / $1,654.00 / $1,654.00	Professional		$1,654.00	$1,654.00	$1,654.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $2,634.00	Facility		$425.00	$562.00	$2,634.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $371.81 / $2,545.83 / $2,545.83	Professional		$371.81	$2,545.83	$2,545.83
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 $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $60.51 / $60.51	Professional		$60.51	$60.51	$60.51