Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,547.00 / $10,268.00	Facility		$951.00	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $237.00 / $1,679.00	Professional		$170.40	$237.00	$1,679.00
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 $7,641.05 / $60,749.39 / $72,899.27	Facility		$7,641.05	$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 $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $539.60 / $1,200.00	Facility		$425.00	$539.60	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $432.67 / $694.80	Professional		$221.00	$432.67	$694.80
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 $126.47 / $126.47 / $126.47	Professional		$126.47	$126.47	$126.47