Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.02 / $3,983.00 / $10,268.00	Facility		$518.02	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.11 / $487.78 / $877.11	Professional		$362.11	$487.78	$877.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.29 / $373.40 / $637.89	Professional		$243.29	$373.40	$637.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.59 / $455.09 / $604.41	Facility		$354.59	$455.09	$604.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.92 / $706.27 / $127,498.73	Professional		$554.92	$706.27	$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 $404.78 / $591.46 / $904.65	Professional		$404.78	$591.46	$904.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $678.22 / $678.22 / $678.22	Facility		$678.22	$678.22	$678.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $415.01 / $601.53 / $904.65	Professional		$415.01	$601.53	$904.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $487.63 / $731.48	Professional		$32.56	$487.63	$731.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $593.59 / $972.57	Professional		$385.44	$593.59	$972.57