Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.24 / $3,116.00 / $10,268.00	Facility		$563.24	$3,116.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.87 / $432.82 / $3,315.18	Professional		$201.87	$432.82	$3,315.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $13,163.00 / $40,570.00	Facility		$2,097.00	$13,163.00	$40,570.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $169.17 / $564.08	Professional		$114.58	$169.17	$564.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.70 / $515.25 / $644.46	Facility		$405.70	$515.25	$644.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,880.74 / $3,651.97 / $4,647.96	Professional		$1,880.74	$3,651.97	$4,647.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $607.48 / $4,813.96	Professional		$237.96	$607.48	$4,813.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $770.04 / $770.04	Facility		$770.04	$770.04	$770.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $250.81 / $654.41 / $4,874.64	Professional		$250.81	$654.41	$4,874.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.72 / $3,166.36 / $4,827.76	Professional		$359.72	$3,166.36	$4,827.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,534.00 / $9,457.00 / $13,382.00	Facility		$4,534.00	$9,457.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $1,960.61 / $4,164.99	Professional		$210.02	$1,960.61	$4,164.99