Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.36 / $3,983.00 / $10,268.00	Facility		$480.36	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $456.06 / $889.98	Professional		$292.66	$456.06	$889.98
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 $204.12 / $300.81 / $514.86	Professional		$204.12	$300.81	$514.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.75 / $374.45 / $497.31	Facility		$291.75	$374.45	$497.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.10 / $653.03 / $127,498.73	Professional		$513.10	$653.03	$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 $332.50 / $505.64 / $806.33	Professional		$332.50	$505.64	$806.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.79 / $514.87 / $816.29	Professional		$346.79	$514.87	$816.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $360.20 / $625.33	Professional		$34.85	$360.20	$625.33
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 $378.20 / $592.53 / $992.74	Professional		$378.20	$592.53	$992.74