Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.02 / $2,113.00 / $10,268.00	Facility		$359.02	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $359.02 / $647.65	Professional		$230.45	$359.02	$647.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $263.31 / $423.32	Professional		$194.85	$263.31	$423.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $278.12 / $369.39	Facility		$216.70	$278.12	$369.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.21 / $522.09 / $127,498.73	Professional		$410.21	$522.09	$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 $266.54 / $414.20 / $666.31	Professional		$266.54	$414.20	$666.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $416.47 / $416.47	Facility		$416.47	$416.47	$416.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $428.86 / $646.57	Professional		$275.81	$428.86	$646.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $264.05 / $448.52	Professional		$34.85	$264.05	$448.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $449.81 / $749.46	Professional		$303.45	$449.81	$749.46