Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $2,360.65 / $11,106.76	Facility		$991.87	$2,360.65	$11,106.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $991.87 / $1,070.64	Professional		$991.87	$991.87	$1,070.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.55 / $906.98 / $2,295.77	Facility		$511.55	$906.98	$2,295.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,128.00 / $1,952.38	Professional		$940.00	$1,128.00	$1,952.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $59,702.01 / $59,702.01	Facility		$1,790.02	$59,702.01	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,464.56	Professional		$1,053.85	$1,053.85	$1,464.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $559.08 / $928.60 / $1,513.50	Facility		$559.08	$928.60	$1,513.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,239.83	Professional		$1,053.85	$1,053.85	$1,239.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,250.17	Professional		$1,033.20	$1,033.20	$1,250.17