Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $4,886.43	Facility		$0.02	$0.04	$4,886.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $4,886.43	Professional		$0.02	$0.03	$4,886.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $483.22 / $3,034.26	Professional		$400.00	$483.22	$3,034.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,922.06 / $3,506.48	Facility		$2,337.65	$2,922.06	$3,506.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,038.95 / $3,155.83 / $5,610.36	Professional		$3,038.95	$3,155.83	$5,610.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,405.32 / $2,659.07 / $13,340.95	Facility		$2,405.32	$2,659.07	$13,340.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,367.53 / $5,087.34	Professional		$1,069.42	$1,367.53	$5,087.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,405.32 / $2,659.07 / $13,340.95	Facility		$2,405.32	$2,659.07	$13,340.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,367.53 / $5,087.34	Professional		$1,069.42	$1,367.53	$5,087.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,840.90 / $2,103.88 / $2,892.84	Professional		$1,840.90	$2,103.88	$2,892.84
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,402.59 / $3,087.33	Professional		$981.81	$1,402.59	$3,087.33