Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $2,989.00 / $12,672.00	Facility		$784.00	$2,989.00	$12,672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.38 / $1,304.00 / $2,612.63	Professional		$561.38	$1,304.00	$2,612.63
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 $26,999.73 / $60,749.39 / $72,899.27	Facility		$26,999.73	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78,974.21 / $104,998.95 / $104,998.95	Professional		$78,974.21	$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 $1,377.00 / $4,004.79 / $4,004.79	Professional		$1,377.00	$4,004.79	$4,004.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $7,119.71	Facility		$425.00	$581.00	$7,119.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,293.15 / $1,556.75 / $1,605.19	Professional		$1,293.15	$1,556.75	$1,605.19
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 $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00