Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.63 / $1,981.00 / $3,015.84	Facility		$694.63	$1,981.00	$3,015.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $744.10 / $951.82	Professional		$507.78	$744.10	$951.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148,498.50 / $148,498.50 / $148,498.50	Facility		$148,498.50	$148,498.50	$148,498.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $833.39 / $1,452.03 / $2,865.66	Facility		$833.39	$1,452.03	$2,865.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00