Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.05 / $1,357.25 / $1,357.25	Facility		$258.05	$1,357.25	$1,357.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Professional		$1,300.00	$1,300.00	$1,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $15.25	Professional		$0.02	$0.03	$15.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,789.15 / $6,789.15 / $11,541.56	Facility		$6,789.15	$6,789.15	$11,541.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,029.00 / $6,789.15 / $6,789.15	Professional		$5,029.00	$6,789.15	$6,789.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $610.04 / $610.04	Facility		$610.04	$610.04	$610.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,531.90 / $9,001.91 / $11,861.90	Professional		$5,531.90	$9,001.91	$11,861.90