Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,232.93 / $11,748.98	Facility		$5,128.61	$10,232.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,584.89 / $11,748.98	Professional		$776.25	$1,584.89	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,511.38 / $17,782.79	Facility		$2,570.40	$8,511.38	$17,782.79
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 $60,255.96 / $72,443.60 / $79,432.82	Facility		$60,255.96	$72,443.60	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $79,432.82	Professional		$75,857.76	$75,857.76	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $21,379.62	Facility		$34.67	$562.34	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $21,379.62	Facility		$524.81	$575.44	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83