Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,776.94 / $11,627.00	Facility		$3,696.00	$9,776.94	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.25 / $1,542.40 / $2,470.00	Professional		$437.25	$1,542.40	$2,470.00
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 $1,804.59 / $15,175.49 / $72,899.27	Facility		$1,804.59	$15,175.49	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.50 / $1,579.50 / $104,998.95	Professional		$1,336.50	$1,579.50	$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 $1,515.00 / $1,515.00 / $1,515.00	Professional		$1,515.00	$1,515.00	$1,515.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $3,523.22	Facility		$425.00	$562.00	$3,523.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $900.25 / $1,749.00 / $3,680.51	Professional		$900.25	$1,749.00	$3,680.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,485.00 / $2,122.83	Professional		$60.00	$1,485.00	$2,122.83
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