Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $12,578.00	Facility		$0.02	$0.04	$12,578.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $2,000.00 / $6,415.00	Professional		$0.02	$2,000.00	$6,415.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $966.44 / $6,530.49	Professional		$800.00	$966.44	$6,530.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,031.20 / $6,289.00 / $7,546.80	Facility		$5,031.20	$6,289.00	$7,546.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,540.56 / $6,792.12 / $12,074.88	Professional		$6,540.56	$6,792.12	$12,074.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,176.85 / $5,722.99 / $28,713.06	Facility		$5,176.85	$5,722.99	$28,713.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,301.80 / $2,943.25 / $10,949.63	Professional		$2,301.80	$2,943.25	$10,949.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,176.85 / $5,722.99 / $28,713.06	Facility		$5,176.85	$5,722.99	$28,713.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,301.80 / $2,707.21 / $10,949.63	Professional		$2,301.80	$2,707.21	$10,949.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,962.07 / $4,528.08 / $6,226.11	Professional		$3,962.07	$4,528.08	$6,226.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $3,018.72 / $6,644.71	Professional		$2,113.10	$3,018.72	$6,644.71