Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.94 / $11,002.56 / $20,903.00	Facility		$2,305.94	$11,002.56	$20,903.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.26 / $11,002.56 / $11,002.56	Professional		$1,908.26	$11,002.56	$11,002.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.17 / $1,815.57 / $4,800.00	Professional		$1,703.17	$1,815.57	$4,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.95 / $7,881.30 / $13,135.50	Facility		$562.95	$7,881.30	$13,135.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.60 / $4,878.89 / $7,506.00	Professional		$515.60	$4,878.89	$7,506.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $4,300.60	Facility		$64.00	$64.00	$4,300.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Facility		$4,300.60	$4,300.60	$4,300.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,300.60 / $4,300.60 / $4,300.60	Professional		$4,300.60	$4,300.60	$4,300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $556.00 / $722.80 / $6,394.00	Professional		$556.00	$722.80	$6,394.00