Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.96 / $2,989.00 / $11,581.00	Facility		$717.96	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $590.53 / $717.96	Professional		$206.11	$590.53	$717.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $974.40 / $1,801.59	Professional		$870.00	$974.40	$1,801.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.42 / $1,148.69 / $15,879.79	Facility		$796.42	$1,148.69	$15,879.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,194.63 / $1,194.63 / $127,498.73	Professional		$1,194.63	$1,194.63	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $304.02 / $21,571.00	Facility		$272.64	$304.02	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $272.64 / $304.02	Facility		$272.64	$272.64	$304.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.74 / $760.26 / $1,388.36	Professional		$439.74	$760.26	$1,388.36