Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.90 / $2,071.00 / $9,504.00	Facility		$414.90	$2,071.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $426.31 / $842.25	Professional		$262.74	$426.31	$842.25
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 $147.12 / $217.17 / $439.02	Professional		$147.12	$217.17	$439.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.17 / $376.26 / $499.73	Facility		$293.17	$376.26	$499.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.00 / $659.27 / $127,498.73	Professional		$518.00	$659.27	$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 $279.56 / $492.36 / $826.17	Professional		$279.56	$492.36	$826.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $560.45 / $560.45	Facility		$560.45	$560.45	$560.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $321.36 / $498.62 / $826.17	Professional		$321.36	$498.62	$826.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $439.55 / $657.85	Professional		$32.56	$439.55	$657.85
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 $277.12 / $563.26 / $980.78	Professional		$277.12	$563.26	$980.78