Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.86 / $5,135.00 / $10,817.74	Facility		$695.86	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.86 / $467.96 / $919.44	Professional		$398.86	$467.96	$919.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.21 / $470.18 / $753.54	Professional		$355.21	$470.18	$753.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.33 / $549.73 / $730.11	Facility		$428.33	$549.73	$730.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.92 / $641.35 / $127,498.73	Professional		$503.92	$641.35	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.37 / $618.45 / $870.40	Professional		$454.37	$618.45	$870.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $551.66 / $551.66	Facility		$551.66	$551.66	$551.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $621.33 / $870.68	Professional		$472.55	$621.33	$870.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $335.33 / $582.19	Professional		$71.16	$335.33	$582.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $567.05 / $933.76	Professional		$368.59	$567.05	$933.76