Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.90 / $3,983.00 / $10,268.00	Facility		$427.90	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $423.47 / $763.20	Professional		$311.14	$423.47	$763.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.12 / $316.93 / $519.30	Professional		$227.12	$316.93	$519.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.55 / $371.62 / $493.56	Facility		$289.55	$371.62	$493.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.39 / $579.59 / $127,498.73	Professional		$455.39	$579.59	$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 $328.74 / $490.66 / $747.76	Professional		$328.74	$490.66	$747.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $500.00 / $747.76	Professional		$356.13	$500.00	$747.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $385.33 / $586.67	Professional		$30.67	$385.33	$586.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $528.08 / $876.93	Professional		$337.50	$528.08	$876.93