Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,357.00 / $6,493.00 / $11,581.00	Facility		$2,357.00	$6,493.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.03 / $5,706.00 / $11,581.00	Professional		$722.03	$5,706.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$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 $8,084.31 / $32,999.67 / $49,499.51	Facility		$8,084.31	$32,999.67	$49,499.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $104,998.95	Professional		$104,998.95	$104,998.95	$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 $1,421.00 / $1,573.64 / $1,573.64	Professional		$1,421.00	$1,573.64	$1,573.64
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 $1,421.00 / $1,421.00 / $1,573.64	Professional		$1,421.00	$1,421.00	$1,573.64
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 $1,092.00 / $5,605.00 / $8,846.00	Facility		$1,092.00	$5,605.00	$8,846.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.33 / $571.33 / $571.33	Professional		$571.33	$571.33	$571.33