Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.50 / $2,547.00 / $10,268.00	Facility		$1,346.50	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $196.70 / $1,718.00	Professional		$105.50	$196.70	$1,718.00
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 $7,638.70 / $60,749.39 / $72,899.27	Facility		$7,638.70	$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 $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00
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 $360.33 / $360.33 / $780.00	Professional		$360.33	$360.33	$780.00
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 $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $130.66 / $130.66	Professional		$130.66	$130.66	$130.66