Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $3,602.00 / $10,268.00	Facility		$609.00	$3,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $361.38 / $701.43	Professional		$321.57	$361.38	$701.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.16 / $448.77 / $746.17	Professional		$333.16	$448.77	$746.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.72 / $406.49 / $539.87	Facility		$316.72	$406.49	$539.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.61 / $474.24 / $127,498.73	Professional		$372.61	$474.24	$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 $355.68 / $525.04 / $736.53	Professional		$355.68	$525.04	$736.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $405.65 / $405.65 / $405.65	Facility		$405.65	$405.65	$405.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $525.04 / $742.40	Professional		$355.68	$525.04	$742.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $256.62 / $431.88	Professional		$52.54	$256.62	$431.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $6,831.00	Facility		$2,233.00	$4,321.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $460.22 / $740.79	Professional		$299.11	$460.22	$740.79