Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $8,037.00 / $11,754.00	Facility		$666.00	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.84 / $448.49 / $886.52	Professional		$389.84	$448.49	$886.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,831.00 / $3,683.00 / $14,996.00	Facility		$1,831.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.32 / $530.36 / $852.23	Professional		$366.32	$530.36	$852.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.54 / $525.61 / $698.09	Facility		$409.54	$525.61	$698.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.81 / $613.21 / $127,498.73	Professional		$481.81	$613.21	$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 $457.63 / $613.22 / $869.22	Professional		$457.63	$613.22	$869.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $526.36	Facility		$526.36	$526.36	$526.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $457.63 / $613.22 / $894.25	Professional		$457.63	$613.22	$894.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $335.15 / $562.28	Professional		$71.16	$335.15	$562.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $566.09 / $950.46	Professional		$365.70	$566.09	$950.46