Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $2,936.00 / $9,534.00	Facility		$434.07	$2,936.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.22 / $434.07 / $756.24	Professional		$345.22	$434.07	$756.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,974.00 / $19,117.00	Facility		$2,003.00	$3,974.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $465.40 / $771.00	Professional		$316.47	$465.40	$771.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.68 / $409.01 / $543.21	Facility		$318.68	$409.01	$543.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.95 / $595.57 / $127,498.73	Professional		$467.95	$595.57	$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 $391.97 / $562.39 / $841.52	Professional		$391.97	$562.39	$841.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $612.22 / $612.22 / $612.22	Facility		$612.22	$612.22	$612.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.46 / $574.30 / $838.53	Professional		$398.46	$574.30	$838.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $300.07 / $542.95	Professional		$34.85	$300.07	$542.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $6,238.00	Facility		$2,647.00	$4,410.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $585.99 / $941.85	Professional		$377.14	$585.99	$941.85